10D2257296 CLIA NUMBER - STILL DETOX , LLC

Laboratory Demographics

CLIA Number: 10D2257296

Facility Name: STILL DETOX , LLC

Facility Address:
950 NW 9TH COURT
BOCA RATON, FL
ZIP 33486
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Facility Phone Number: 561 961-4404

Facility Type: Other - SUBSTANCE ABUSE FACILITY

Certificate Type: Waiver

NPI Number: 1740946391

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2257296
LAB Type	Other - SUBSTANCE ABUSE FACILITY
Facility Name	STILL DETOX , LLC
Street	950 NW 9TH COURT
City	BOCA RATON
State	FL
ZIP	33486
Phone	561 961-4404
CertificateType	4
CertificateEffectiveDate	4/4/2024
CertificateExpirationDate	4/3/2026
FacilityType	Waiver

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