10D2147973 CLIA NUMBER - EVOKE WELLNESS, LLC

Laboratory Demographics

CLIA Number: 10D2147973

Facility Name: EVOKE WELLNESS, LLC

Facility Address:
3600 RED ROAD STE 501
MIRAMAR, FL
ZIP 33025
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Facility Phone Number: 954 993-4020

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1972003523

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	10D2147973
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	EVOKE WELLNESS, LLC
Street	3600 RED ROAD STE 501
City	MIRAMAR
State	FL
ZIP	33025
Phone	954 993-4020
CertificateType	4
CertificateEffectiveDate	5/1/2024
CertificateExpirationDate	4/30/2026
FacilityType	Waiver

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