10D2144754 CLIA NUMBER - REPRIEVE, LLC

Laboratory Demographics

  • CLIA Code: 10D2144754
  • Facility Name: REPRIEVE, LLC
  • Facility Address: 4700 N CONGRESS AVE - STE 104
    WEST PALM BEACH, FL
    ZIP 33407
  • Facility Phone: 848 702-5305
  • Facility Type: Other - SUBSTANCE ABUSE TX
  • Facility Type: Waiver
  • Lab Director: CHARLES RAELE
  • NPI Number: 1528567740
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2144754
LAB Type Other - SUBSTANCE ABUSE TX
Facility Name REPRIEVE, LLC
Street 4700 N CONGRESS AVE - STE 104
City WEST PALM BEACH
State FL
ZIP 33407
Phone 848 702-5305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Other - SUBSTANCE ABUSE TX
Lab Director CHARLES RAELE

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This page was last updated on: 9/29/2025