10D2323454 CLIA NUMBER - MINDRX PSYCHIATRY INC

Laboratory Demographics

  • CLIA Code: 10D2323454
  • Facility Name: MINDRX PSYCHIATRY INC
  • Facility Address: 4121 NW 5TH ST SUITE 218
    PLANTATION, FL
    ZIP 33317
  • Facility Phone: 954 335-2486
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SEVENISE P. CHERELUS
  • NPI Number: 1841003845
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 10D2323454
LAB Type Practitioner Other
Facility Name MINDRX PSYCHIATRY INC
Street 4121 NW 5TH ST SUITE 218
City PLANTATION
State FL
ZIP 33317
Phone 954 335-2486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Practitioner Other
Lab Director SEVENISE P. CHERELUS

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