10D2274461 CLIA NUMBER - AWARE RECOVERY CARE OF FLORIDA LLC

Laboratory Demographics

CLIA Number: 10D2274461

Facility Name: AWARE RECOVERY CARE OF FLORIDA LLC

Facility Address:
1715 N WEST SHORE BLVD - STE 920
TAMPA, FL
ZIP 33607
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Facility Phone Number: 203 779-5799

Facility Type: Other - IN-HOME ADDICTION TRMT

Certificate Type: Waiver

NPI Number: 1780330688

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	10D2274461
LAB Type	Other - IN-HOME ADDICTION TRMT
Facility Name	AWARE RECOVERY CARE OF FLORIDA LLC
Street	1715 N WEST SHORE BLVD - STE 920
City	TAMPA
State	FL
ZIP	33607
Phone	203 779-5799
CertificateType	4
CertificateEffectiveDate	1/5/2023
CertificateExpirationDate	1/4/2025
FacilityType	Waiver

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