10D2311779 CLIA NUMBER - FLORIDA OASIS BAYBERRY LLC DBA FLORIDA OASIS

Laboratory Demographics

  • CLIA Code: 10D2311779
  • Facility Name: FLORIDA OASIS BAYBERRY LLC DBA FLORIDA OASIS
  • Facility Address: 717 BAYBERRY DRIVE
    LAKE PARK, FL
    ZIP 33403
  • Facility Phone: 954 655-6735
  • Facility Type: Other - RESEDENTIAL MENTAL HEALTH
  • Facility Type: Waiver
  • Lab Director: JONATHAN M. SOBELMAN
  • NPI Number: 1437672748
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2311779
LAB Type Other - RESEDENTIAL MENTAL HEALTH
Facility Name FLORIDA OASIS BAYBERRY LLC DBA FLORIDA OASIS
Street 717 BAYBERRY DRIVE
City LAKE PARK
State FL
ZIP 33403
Phone 954 655-6735
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Other - RESEDENTIAL MENTAL HEALTH
Lab Director JONATHAN M. SOBELMAN

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