10D2279860 CLIA NUMBER - CRYSTAL LAKE HEALING

Laboratory Demographics

  • CLIA Code: 10D2279860
  • Facility Name: CRYSTAL LAKE HEALING
  • Facility Address: 1000 E HILLSBORO BLVD, STE 103
    DEERFIELD BEACH, FL
    ZIP 33441
  • Facility Phone: 561 336-9592
  • Facility Type: Other - OUTPATIENT SUD TREATME
  • Facility Type: Waiver
  • Lab Director: DAVID T. HU
  • NPI Number: 1922503325
  • Taxonomy: 106S00000X - Behavior Technician

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CLIA Record

Field Name Field Value
CLIA Number 10D2279860
LAB Type Other - OUTPATIENT SUD TREATME
Facility Name CRYSTAL LAKE HEALING
Street 1000 E HILLSBORO BLVD, STE 103
City DEERFIELD BEACH
State FL
ZIP 33441
Phone 561 336-9592
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Other - OUTPATIENT SUD TREATME
Lab Director DAVID T. HU

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