10D2216929 CLIA NUMBER - BROWARD PARTNERSHIP FOR HOMELESS, INC

Laboratory Demographics

CLIA Number: 10D2216929

Facility Name: BROWARD PARTNERSHIP FOR HOMELESS, INC

Facility Address:
1700 BLOUNT ROAD
POMPANO BEACH, FL
ZIP 33069
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Facility Phone Number: 954 779-3990

Facility Type: Other - HOMELESS SHELTER CLINIC

Certificate Type: Waiver

NPI Number: 1811238397

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	10D2216929
LAB Type	Other - HOMELESS SHELTER CLINIC
Facility Name	BROWARD PARTNERSHIP FOR HOMELESS, INC
Street	1700 BLOUNT ROAD
City	POMPANO BEACH
State	FL
ZIP	33069
Phone	954 779-3990
CertificateType	4
CertificateEffectiveDate	3/17/2023
CertificateExpirationDate	3/16/2025
FacilityType	Waiver

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