05D2029893 CLIA NUMBER - RECODO LANE HOME

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CLIA Record

Field Name Field Value
CLIA Number 05D2029893
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RECODO LANE HOME
Street 26961 RECODO LANE
City MISSION VIEJO
State CA
ZIP 92691
Phone 949 768-8951
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director CHRISTOPHER HOLDEN

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