10D2270145 CLIA NUMBER - URP LAKE WORTH, LLC

Laboratory Demographics

  • CLIA Code: 10D2270145
  • Facility Name: URP LAKE WORTH, LLC
  • Facility Address: 4865 40TH WAY S
    LAKE WORTH, FL
    ZIP 33466
  • Facility Phone: 855 936-4435
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: DR. EMILIO MANTERO-ATIENZA
  • NPI Number: 1326780883
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2270145
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name URP LAKE WORTH, LLC
Street 4865 40TH WAY S
City LAKE WORTH
State FL
ZIP 33466
Phone 855 936-4435
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director DR. EMILIO MANTERO-ATIENZA

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