05D1078345 CLIA NUMBER - CRC ED TREATMENT, LLC DBA MONTECATINI

Laboratory Demographics

  • CLIA Code: 05D1078345
  • Facility Name: CRC ED TREATMENT, LLC DBA MONTECATINI
  • Facility Address: 2524 LA COSTA AVE
    CARLSBAD, CA
    ZIP 92009
  • Facility Phone: 760 436-8930
  • Facility Type: Other - ED TREATMENT CENTER
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER MORACHE
  • NPI Number: 1093193682
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 05D1078345
LAB Type Other - ED TREATMENT CENTER
Facility Name CRC ED TREATMENT, LLC DBA MONTECATINI
Street 2524 LA COSTA AVE
City CARLSBAD
State CA
ZIP 92009
Phone 760 436-8930
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Other - ED TREATMENT CENTER
Lab Director CHRISTOPHER MORACHE

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