10D2201151 CLIA NUMBER - SANDS TREATMENT CENTER, LLC, THE

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Laboratory Demographics

CLIA Number: 10D2201151

Facility Name: SANDS TREATMENT CENTER, LLC, THE

Facility Address:
2100 PARK CENTRAL BLVD NORTH STE 900
POMPANO BEACH, FL
ZIP 33064
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Facility Phone Number: 954 526-6400

Facility Type: Other - DRUG & ALCOHOL TX

Certificate Type: Waiver

NPI Number: 1477166494

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	10D2201151
LAB Type	Other - DRUG & ALCOHOL TX
Facility Name	SANDS TREATMENT CENTER, LLC, THE
Street	2100 PARK CENTRAL BLVD NORTH STE 900
City	POMPANO BEACH
State	FL
ZIP	33064
Phone	954 526-6400
CertificateType	4
CertificateEffectiveDate	11/19/2022
CertificateExpirationDate	11/18/2024
FacilityType	Waiver

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