10D2295036 CLIA NUMBER - SOJOURN WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 10D2295036
  • Facility Name: SOJOURN WELLNESS LLC
  • Facility Address: 1125 STRONG RD
    QUINCY, FL
    ZIP 32351
  • Facility Phone: 850 345-0859
  • Facility Type: Other - IN PATIENT DETOXIFICATION
  • Facility Type: Waiver
  • Lab Director: CHANTEL LEWIS
  • NPI Number: 1780439000
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2295036
LAB Type Other - IN PATIENT DETOXIFICATION
Facility Name SOJOURN WELLNESS LLC
Street 1125 STRONG RD
City QUINCY
State FL
ZIP 32351
Phone 850 345-0859
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Other - IN PATIENT DETOXIFICATION
Lab Director CHANTEL LEWIS

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