10D2287646 CLIA NUMBER - AGAPE BEHAVIORAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2287646
  • Facility Name: AGAPE BEHAVIORAL CENTER LLC
  • Facility Address: 5081 NW DUNN ROAD
    FORT PIERCE, FL
    ZIP 34981
  • Facility Phone: (973) 687-0616
  • Facility Type: Other - RESIDENTIAL MENTAL HEALTH
  • Facility Type: Waiver
  • Lab Director: CHARLES SMITH
  • NPI Number: 1982347472
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2287646
LAB Type Other - RESIDENTIAL MENTAL HEALTH
Facility Name AGAPE BEHAVIORAL CENTER LLC
Street 5081 NW DUNN ROAD
City FORT PIERCE
State FL
ZIP 34981
Phone 9736870616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Other - RESIDENTIAL MENTAL HEALTH
Lab Director CHARLES SMITH

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This page was last updated on: 5/15/2026