Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
10D2315072
|
|
Clinical laboratory number
|
|
Lab Name
|
RIVER HOUSE WELLNESS LLC
|
|
Laboratory Name
|
|
Lab Type
|
Other - RESIDENTIAL MENTAL HEALTH
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
772-946-1665
|
|
Laboratory telephone number
|
|
Fax
|
N/S (NOT SPECIFIED)
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
3670 NE INDIAN RIVER DRIVE
|
|
Primary location adress line
|
|
City
|
JENSEN BEACH
|
|
Primary location city name
|
|
State
|
FL
|
|
Primary location state name
|
|
Zip
|
34957
|
|
Primary location postal code
|