10D2301400 CLIA NUMBER - FENIX RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 10D2301400
  • Facility Name: FENIX RECOVERY LLC
  • Facility Address: 330 NORTH FEDERAL HIGHWAY, SUITE 2-3
    LAKE PARK, FL
    ZIP 33403
  • Facility Phone: 866 718-4248
  • Facility Type: Other - OUTPATIENT ADDICTION TRT
  • Facility Type: Waiver
  • Lab Director: DR. CARLOS SATULOVSKY
  • NPI Number: 1689432890
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2301400
LAB Type Other - OUTPATIENT ADDICTION TRT
Facility Name FENIX RECOVERY LLC
Street 330 NORTH FEDERAL HIGHWAY, SUITE 2-3
City LAKE PARK
State FL
ZIP 33403
Phone 866 718-4248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Other - OUTPATIENT ADDICTION TRT
Lab Director DR. CARLOS SATULOVSKY

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This page was last updated on: 6/4/2025