10D2285557 CLIA NUMBER - PURHEALTH AND WELLNESS LLC

Laboratory Demographics

CLIA Number: 10D2285557

Facility Name: PURHEALTH AND WELLNESS LLC

Facility Address:
1581 OLD DIXIE HIGHWAY
VERO BEACH, FL
ZIP 32960
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Facility Phone Number: 772 783-4223

Facility Type: Other - SUBSTANCE USE TREATMENT

Certificate Type: Waiver

NPI Number: 1922599885

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	10D2285557
LAB Type	Other - SUBSTANCE USE TREATMENT
Facility Name	PURHEALTH AND WELLNESS LLC
Street	1581 OLD DIXIE HIGHWAY
City	VERO BEACH
State	FL
ZIP	32960
Phone	772 783-4223
CertificateType	4
CertificateEffectiveDate	7/14/2023
CertificateExpirationDate	7/13/2025
FacilityType	Waiver

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