10D2170387 CLIA NUMBER - RECREATE LIFE COUNSELING SERVICES BH LLC

Laboratory Demographics

  • CLIA Code: 10D2170387
  • Facility Name: RECREATE LIFE COUNSELING SERVICES BH LLC
  • Facility Address: 621 LAKE STREET
    BOYNTON BEACH, FL
    ZIP 33435
  • Facility Phone: 954 425-2949
  • Facility Type: Other - RECOVERY RESIDENCE
  • Facility Type: Waiver
  • Lab Director: DUY D. NGUYEN
  • NPI Number: 1831543206
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2170387
LAB Type Other - RECOVERY RESIDENCE
Facility Name RECREATE LIFE COUNSELING SERVICES BH LLC
Street 621 LAKE STREET
City BOYNTON BEACH
State FL
ZIP 33435
Phone 954 425-2949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Other - RECOVERY RESIDENCE
Lab Director DUY D. NGUYEN

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