10D2284427 CLIA NUMBER - BEACON RECOVERY CENTER LLC

Laboratory Demographics

CLIA Number: 10D2284427

Facility Name: BEACON RECOVERY CENTER LLC

Facility Address:
803 NW SECOND AVE
POMPANO BEACH, FL
ZIP 33060
Get Directions

Facility Phone Number: 561 251-7404

Facility Type: Other - DETOX CENTER

Certificate Type: Waiver

NPI Number: 1356037477

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	10D2284427
LAB Type	Other - DETOX CENTER
Facility Name	BEACON RECOVERY CENTER LLC
Street	803 NW SECOND AVE
City	POMPANO BEACH
State	FL
ZIP	33060
Phone	561 251-7404
CertificateType	4
CertificateEffectiveDate	6/22/2023
CertificateExpirationDate	6/21/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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