10D2187437 CLIA NUMBER - DETOX CENTERS OF AMERICA, LLC

Laboratory Demographics

CLIA Number: 10D2187437

Facility Name: DETOX CENTERS OF AMERICA, LLC

Facility Address:
208 SE 8TH STREET
FORT LAUDERDALE, FL
ZIP 33316
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Facility Phone Number: 888 526-0124

Facility Type: Other - INPATIENT DETOX

Certificate Type: Waiver

NPI Number: 1538702444

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	10D2187437
LAB Type	Other - INPATIENT DETOX
Facility Name	DETOX CENTERS OF AMERICA, LLC
Street	208 SE 8TH STREET
City	FORT LAUDERDALE
State	FL
ZIP	33316
Phone	888 526-0124
CertificateType	4
CertificateEffectiveDate	7/1/2022
CertificateExpirationDate	6/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024