10D2262571 CLIA NUMBER - LANTANA WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 10D2262571
  • Facility Name: LANTANA WELLNESS, LLC
  • Facility Address: 828 MINNESOTA STREET
    LANTANA, FL
    ZIP 33465
  • Facility Phone: 844 313-3372
  • Facility Type: Other - DRUG AND ALCOHOL TREATMEN
  • Facility Type: Waiver
  • Lab Director: JOSE RAFEAL TOLEDO
  • NPI Number: 1992465215
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2262571
LAB Type Other - DRUG AND ALCOHOL TREATMEN
Facility Name LANTANA WELLNESS, LLC
Street 828 MINNESOTA STREET
City LANTANA
State FL
ZIP 33465
Phone 844 313-3372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Other - DRUG AND ALCOHOL TREATMEN
Lab Director JOSE RAFEAL TOLEDO

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