10D2295281 CLIA NUMBER - HENDERSON BEHAVIORAL HEALTH INC

Laboratory Demographics

  • CLIA Code: 10D2295281
  • Facility Name: HENDERSON BEHAVIORAL HEALTH INC
  • Facility Address: 4720 N STATE ROAD 7 BLDG B
    LAUDERDALE LAKES, FL
    ZIP 33319
  • Facility Phone: 954 730-7284
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARIA A. GORELICK
  • NPI Number: 1972533271
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2295281
LAB Type Home Health Agency
Facility Name HENDERSON BEHAVIORAL HEALTH INC
Street 4720 N STATE ROAD 7 BLDG B
City LAUDERDALE LAKES
State FL
ZIP 33319
Phone 954 730-7284
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Home Health Agency
Lab Director MARIA A. GORELICK

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