10D2215413 CLIA NUMBER - OLYMPIC BEHAVIORAL HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D2215413
  • Facility Name: OLYMPIC BEHAVIORAL HEALTH LLC
  • Facility Address: 3618 LANTANA ROAD STE 200
    LANTANA, FL
    ZIP 33462
  • Facility Phone: 561 272-0800
  • Facility Type: Other - SUBSTANCE ABUSE TRTMT CTR
  • Facility Type: Waiver
  • Lab Director: MARYAM E. DAVARI
  • NPI Number: 1558965475
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2215413
LAB Type Other - SUBSTANCE ABUSE TRTMT CTR
Facility Name OLYMPIC BEHAVIORAL HEALTH LLC
Street 3618 LANTANA ROAD STE 200
City LANTANA
State FL
ZIP 33462
Phone 561 272-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Other - SUBSTANCE ABUSE TRTMT CTR
Lab Director MARYAM E. DAVARI

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