10D2174765 CLIA NUMBER - MINDFUL BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 10D2174765
  • Facility Name: MINDFUL BEHAVIORAL HEALTH
  • Facility Address: 2201 NW CORPORATE BLVD STE 202
    BOCA RATON, FL
    ZIP 33431
  • Facility Phone: 561 499-6933
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IVAN E. CICHOWICZ
  • NPI Number: 1992133946
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2174765
LAB Type Physician Office
Facility Name MINDFUL BEHAVIORAL HEALTH
Street 2201 NW CORPORATE BLVD STE 202
City BOCA RATON
State FL
ZIP 33431
Phone 561 499-6933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Physician Office
Lab Director IVAN E. CICHOWICZ

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