10D2141887 CLIA NUMBER - BEACHSIDE DETOX

Laboratory Demographics

  • CLIA Code: 10D2141887
  • Facility Name: BEACHSIDE DETOX
  • Facility Address: 1101 54TH STREET
    WEST PALM BEACH, FL
    ZIP 33407
  • Facility Phone: 772 252-1125
  • Facility Type: Other - ADDICTION TREATMENT
  • Facility Type: Waiver
  • Lab Director: ANNEMARIE SINCAVAGE
  • NPI Number: 1477974806
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2141887
LAB Type Other - ADDICTION TREATMENT
Facility Name BEACHSIDE DETOX
Street 1101 54TH STREET
City WEST PALM BEACH
State FL
ZIP 33407
Phone 772 252-1125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2023
Certificate Expiration Date 12/25/2025
Facility Type Other - ADDICTION TREATMENT
Lab Director ANNEMARIE SINCAVAGE

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This page was last updated on: 6/4/2025