10D2172726 CLIA NUMBER - THE BRAIN SPA, LLC

Laboratory Demographics

  • CLIA Code: 10D2172726
  • Facility Name: THE BRAIN SPA, LLC
  • Facility Address: 210 JUPITER LAKES BLVD BLDG 300 SUITE 102
    JUPITER, FL
    ZIP 33458
  • Facility Phone: 561 406-6561
  • Facility Type: Other - SUBSTANCE ABUSE FACILITY
  • Facility Type: Waiver
  • Lab Director: EDWARD BARIAS
  • NPI Number: 1063907517
  • Taxonomy: 2084P0802X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2172726
LAB Type Other - SUBSTANCE ABUSE FACILITY
Facility Name THE BRAIN SPA, LLC
Street 210 JUPITER LAKES BLVD BLDG 300 SUITE 102
City JUPITER
State FL
ZIP 33458
Phone 561 406-6561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Other - SUBSTANCE ABUSE FACILITY
Lab Director EDWARD BARIAS

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