10D2319449 CLIA NUMBER - MARK BEHAVIORAL HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D2319449
  • Facility Name: MARK BEHAVIORAL HEALTH LLC
  • Facility Address: 128 LAKEVIEW AVENUE
    LANTANA, FL
    ZIP 33462
  • Facility Phone: 561 715-2170
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: KRISTINA J. NETHERLAND
  • NPI Number: 1396597621
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2319449
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MARK BEHAVIORAL HEALTH LLC
Street 128 LAKEVIEW AVENUE
City LANTANA
State FL
ZIP 33462
Phone 561 715-2170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director KRISTINA J. NETHERLAND

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