10D2301694 CLIA NUMBER - ALTERNATIVE SM LLC

Laboratory Demographics

  • CLIA Code: 10D2301694
  • Facility Name: ALTERNATIVE SM LLC
  • Facility Address: 2150 SW 13TH AVE
    MIAMI, FL
    ZIP 33145
  • Facility Phone: 305 742-3332
  • Facility Type: Other - OUTPATIENT SUBSTANCE USE
  • Facility Type: Waiver
  • Lab Director: LANDER ROMULO FONSECA
  • NPI Number: 1962283879
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2301694
LAB Type Other - OUTPATIENT SUBSTANCE USE
Facility Name ALTERNATIVE SM LLC
Street 2150 SW 13TH AVE
City MIAMI
State FL
ZIP 33145
Phone 305 742-3332
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Other - OUTPATIENT SUBSTANCE USE
Lab Director LANDER ROMULO FONSECA

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