10D2177405 CLIA NUMBER - PENDULUM DETOX LLC

Laboratory Demographics

  • CLIA Code: 10D2177405
  • Facility Name: PENDULUM DETOX LLC
  • Facility Address: 2901 BROADWAY AVE
    WEST PALM BEACH, FL
    ZIP 33407
  • Facility Phone: 565 120-3815
  • Facility Type: Other - SUBSTANCE ABUSE DETOX
  • Facility Type: Waiver
  • Lab Director: ALEXIS STORONKIN
  • NPI Number: 1003456294
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2177405
LAB Type Other - SUBSTANCE ABUSE DETOX
Facility Name PENDULUM DETOX LLC
Street 2901 BROADWAY AVE
City WEST PALM BEACH
State FL
ZIP 33407
Phone 565 120-3815
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2024
Certificate Expiration Date 1/8/2026
Facility Type Other - SUBSTANCE ABUSE DETOX
Lab Director ALEXIS STORONKIN

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