10D2157455 CLIA NUMBER - HOLISTIX TREATMENT CENTERS

Laboratory Demographics

  • CLIA Code: 10D2157455
  • Facility Name: HOLISTIX TREATMENT CENTERS
  • Facility Address: 9935 PALOMINO DRIVE
    LAKE WORTH, FL
    ZIP 33467
  • Facility Phone: 561 802-7158
  • Facility Type: Other - DETOX TX CTR
  • Facility Type: Waiver
  • Lab Director: ALA KABUKA
  • NPI Number: 1114498565
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2157455
LAB Type Other - DETOX TX CTR
Facility Name HOLISTIX TREATMENT CENTERS
Street 9935 PALOMINO DRIVE
City LAKE WORTH
State FL
ZIP 33467
Phone 561 802-7158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Other - DETOX TX CTR
Lab Director ALA KABUKA

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