10D2308183 CLIA NUMBER - SEAQUELL HOUSE LLC

Laboratory Demographics

  • CLIA Code: 10D2308183
  • Facility Name: SEAQUELL HOUSE LLC
  • Facility Address: 1301 POINCIANA DR
    PEMBROKE PINES, FL
    ZIP 33025
  • Facility Phone: 954 805-0177
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: ALEKSANDR KAIPOV
  • NPI Number: 1437934270
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2308183
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SEAQUELL HOUSE LLC
Street 1301 POINCIANA DR
City PEMBROKE PINES
State FL
ZIP 33025
Phone 954 805-0177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ALEKSANDR KAIPOV

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