10D2327878 CLIA NUMBER - AMITY PALM BEACH LLC

Laboratory Demographics

  • CLIA Code: 10D2327878
  • Facility Name: AMITY PALM BEACH LLC
  • Facility Address: 2901 BROADWAY
    WEST PALM BEACH, FL
    ZIP 33409
  • Facility Phone: 774 269-9594
  • Facility Type: Other - RESIDENTIAL SUBSTANCE ABU
  • Facility Type: Waiver
  • Lab Director: ERIC CHAGHOURI
  • NPI Number: 1609762665
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D2327878
LAB Type Other - RESIDENTIAL SUBSTANCE ABU
Facility Name AMITY PALM BEACH LLC
Street 2901 BROADWAY
City WEST PALM BEACH
State FL
ZIP 33409
Phone 774 269-9594
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Other - RESIDENTIAL SUBSTANCE ABU
Lab Director ERIC CHAGHOURI

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