10D2182990 CLIA NUMBER - MASTERMIND CARE, INC

Laboratory Demographics

  • CLIA Code: 10D2182990
  • Facility Name: MASTERMIND CARE, INC
  • Facility Address: 541 S STATE RD 7, STE 7
    MARGATE, FL
    ZIP 33068
  • Facility Phone: 954 548-6303
  • Facility Type: Other - SUBSTANCE USE DISORDER
  • Facility Type: Waiver
  • Lab Director: JEANNIE L. BARREDA
  • NPI Number: 1427687714
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2182990
LAB Type Other - SUBSTANCE USE DISORDER
Facility Name MASTERMIND CARE, INC
Street 541 S STATE RD 7, STE 7
City MARGATE
State FL
ZIP 33068
Phone 954 548-6303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Other - SUBSTANCE USE DISORDER
Lab Director JEANNIE L. BARREDA

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