10D2232341 CLIA NUMBER - IGNITE RECOVERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2232341
  • Facility Name: IGNITE RECOVERY CENTER LLC
  • Facility Address: 4850 W OAKLAND PARK BLVD SUITE 257
    LAUDERDALE LAKES, FL
    ZIP 33313
  • Facility Phone: 954 213-6569
  • Facility Type: Other - OUTPAITENT SUB ABUSE TC
  • Facility Type: Waiver
  • Lab Director: CARLOS A. SATULOVSKY
  • NPI Number: 1205429834
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2232341
LAB Type Other - OUTPAITENT SUB ABUSE TC
Facility Name IGNITE RECOVERY CENTER LLC
Street 4850 W OAKLAND PARK BLVD SUITE 257
City LAUDERDALE LAKES
State FL
ZIP 33313
Phone 954 213-6569
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Other - OUTPAITENT SUB ABUSE TC
Lab Director CARLOS A. SATULOVSKY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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