10D2265823 CLIA NUMBER - YNY BEHAVIORAL SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2265823
  • Facility Name: YNY BEHAVIORAL SERVICES LLC
  • Facility Address: 790 NW 107TH AVENUE SUITE 110
    MIAMI, FL
    ZIP 33172
  • Facility Phone: 305 964-5426
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SHLOMO PASCAL
  • NPI Number: 1366069700
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 10D2265823
LAB Type Community Clinic
Facility Name YNY BEHAVIORAL SERVICES LLC
Street 790 NW 107TH AVENUE SUITE 110
City MIAMI
State FL
ZIP 33172
Phone 305 964-5426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Community Clinic
Lab Director SHLOMO PASCAL

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