10D2263068 CLIA NUMBER - FLAGLER HEALTH AND WELLNESS, LLC

Laboratory Demographics

CLIA Number: 10D2263068

Facility Name: FLAGLER HEALTH AND WELLNESS, LLC

Facility Address:
1803 S AUSTRALIAN AVENUE
WEST PALM BEACH, FL
ZIP 33409
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Facility Phone Number: 561 556-8090

Facility Type: Other - DRUG AND ALCOHOL TREATMEN

Certificate Type: Waiver

NPI Number: 1164176913

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	10D2263068
LAB Type	Other - DRUG AND ALCOHOL TREATMEN
Facility Name	FLAGLER HEALTH AND WELLNESS, LLC
Street	1803 S AUSTRALIAN AVENUE
City	WEST PALM BEACH
State	FL
ZIP	33409
Phone	561 556-8090
CertificateType	4
CertificateEffectiveDate	6/22/2022
CertificateExpirationDate	6/21/2024
FacilityType	Waiver

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