10D2297621 CLIA NUMBER - ATLANTIC TREATMENT CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D2297621
  • Facility Name: ATLANTIC TREATMENT CENTER LLC
  • Facility Address: 380 SW 12TH AVENUE
    POMPANO BEACH, FL
    ZIP 33069
  • Facility Phone: 954 997-1967
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: OLUEYE ADIGUN
  • NPI Number: 1215924899
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2297621
LAB Type Pharmacy
Facility Name ATLANTIC TREATMENT CENTER LLC
Street 380 SW 12TH AVENUE
City POMPANO BEACH
State FL
ZIP 33069
Phone 954 997-1967
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Pharmacy
Lab Director OLUEYE ADIGUN

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