10D2152147 CLIA NUMBER - URP BEHAVIORAL HEALTH LLC

Laboratory Demographics

CLIA Code: 10D2152147
Facility Name: URP BEHAVIORAL HEALTH LLC
Facility Address: 45 W 17TH STREET
RIVIERA BEACH, FL
ZIP 33404
Facility Phone: 833 525-0166
Facility Type: Other - BEHAVIORAL HEALTH RESIDEN
Facility Type: Waiver
Lab Director: EMILIO MANTERO-ATIENZA
NPI Number: 1295233062
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	10D2152147
LAB Type	Other - BEHAVIORAL HEALTH RESIDEN
Facility Name	URP BEHAVIORAL HEALTH LLC
Street	45 W 17TH STREET
City	RIVIERA BEACH
State	FL
ZIP	33404
Phone	833 525-0166
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/3/2024
Certificate Expiration Date	8/2/2026
Facility Type	Other - BEHAVIORAL HEALTH RESIDEN
Lab Director	EMILIO MANTERO-ATIENZA

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