10D2292304 CLIA NUMBER - BRIGHTEN BAY FL LLC

Laboratory Demographics

  • CLIA Code: 10D2292304
  • Facility Name: BRIGHTEN BAY FL LLC
  • Facility Address: 5300 NW DUNN ROAD
    FORT PIERCE, FL
    ZIP 34981
  • Facility Phone: 863 634-3023
  • Facility Type: Other - RESIDENTIAL TREATMENT FAC
  • Facility Type: Waiver
  • Lab Director: TINA BOWEN
  • NPI Number: 1568241073
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2292304
LAB Type Other - RESIDENTIAL TREATMENT FAC
Facility Name BRIGHTEN BAY FL LLC
Street 5300 NW DUNN ROAD
City FORT PIERCE
State FL
ZIP 34981
Phone 863 634-3023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Other - RESIDENTIAL TREATMENT FAC
Lab Director TINA BOWEN

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