10D2144351 CLIA NUMBER - HOLLYWOOD RESEARCH CENTER, LLC

Laboratory Demographics

CLIA Number: 10D2144351

Facility Name: HOLLYWOOD RESEARCH CENTER, LLC

Facility Address:
4801 HOLLYWOOD BLVD STE B
HOLLYWOOD, FL
ZIP 33021
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Facility Phone Number: 954 927-5382

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326027723

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name Field Value
CLIA Number 10D2144351
LAB Type Physician Office
Facility Name HOLLYWOOD RESEARCH CENTER, LLC
Street 4801 HOLLYWOOD BLVD STE B
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 927-5382
CertificateType 4
CertificateEffectiveDate 2/15/2024
CertificateExpirationDate 2/14/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024