Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clean Slate Living

Organization Clinical Medical Laboratory · NPI 1265860522

Clean Slate Living is a Clinical Medical Laboratory in West Palm Beach, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

118 Canoe Dr
West Palm Beach, FL 33415-2602
Phone: (561) 270-2361
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 10D2063192 (FL)

Record details

NPI number1265860522
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Iacullo — Billing Director · (561) 270-2361
NPI enumeratedOctober 24, 2013
Last updated in NPPESOctober 24, 2013
Mailing address118 Canoe Dr, West Palm Beach, FL 33415-2602

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