10D2228969 CLIA NUMBER - TAMARAC DETOX, LLC

Laboratory Demographics

  • CLIA Code: 10D2228969
  • Facility Name: TAMARAC DETOX, LLC
  • Facility Address: 8290 NORTH UNIVERSITY DRIVE
    TAMARAC, FL
    ZIP 33321
  • Facility Phone: 305 582-5794
  • Facility Type: Other - SUBSTANCE ABUSE TF
  • Facility Type: Waiver
  • Lab Director: ALEXANDRA KOROTKEVICH
  • NPI Number: 1538737291
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2228969
LAB Type Other - SUBSTANCE ABUSE TF
Facility Name TAMARAC DETOX, LLC
Street 8290 NORTH UNIVERSITY DRIVE
City TAMARAC
State FL
ZIP 33321
Phone 305 582-5794
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Other - SUBSTANCE ABUSE TF
Lab Director ALEXANDRA KOROTKEVICH

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