10D2273026 CLIA NUMBER - INTREPID HOLISTIC HEALTH SERVICES LLC

Laboratory Demographics

  • CLIA Code: 10D2273026
  • Facility Name: INTREPID HOLISTIC HEALTH SERVICES LLC
  • Facility Address: 318 S DIXIE HWY - SUITES 4-7
    LAKE WORTH, FL
    ZIP 33460
  • Facility Phone: (646) 645-7773
  • Facility Type: Other - DAY/NIGHT COMM HSG.
  • Facility Type: Waiver
  • Lab Director: JOHN PAKEL
  • NPI Number: 1629793393
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2273026
LAB Type Other - DAY/NIGHT COMM HSG.
Facility Name INTREPID HOLISTIC HEALTH SERVICES LLC
Street 318 S DIXIE HWY - SUITES 4-7
City LAKE WORTH
State FL
ZIP 33460
Phone 6466457773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Other - DAY/NIGHT COMM HSG.
Lab Director JOHN PAKEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026