10D2256750 CLIA NUMBER - VALIANT RECOVERY CORP

Laboratory Demographics

  • CLIA Code: 10D2256750
  • Facility Name: VALIANT RECOVERY CORP
  • Facility Address: 610 E OLYMPIA AVE
    PUNTA GORDA, FL
    ZIP 33950
  • Facility Phone: 941 882-1664
  • Facility Type: Other - RESIDENTIAL SUBSTANCE ABU
  • Facility Type: Waiver
  • Lab Director: DR. MIZYL DAMAYO
  • NPI Number: 1639772312
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2256750
LAB Type Other - RESIDENTIAL SUBSTANCE ABU
Facility Name VALIANT RECOVERY CORP
Street 610 E OLYMPIA AVE
City PUNTA GORDA
State FL
ZIP 33950
Phone 941 882-1664
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Other - RESIDENTIAL SUBSTANCE ABU
Lab Director DR. MIZYL DAMAYO

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