05D2031763 CLIA NUMBER - BUCKEYE RECOVERY NETWORK, LLC

Laboratory Demographics

  • CLIA Code: 05D2031763
  • Facility Name: BUCKEYE RECOVERY NETWORK, LLC
  • Facility Address: 19322 BEACH BLVD
    HUNTINGTON BEACH, CA
    ZIP 92648
  • Facility Phone: 949 515-9191
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MICHAEL BISHARA
  • NPI Number: 1194239426
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2031763
LAB Type Independent
Facility Name BUCKEYE RECOVERY NETWORK, LLC
Street 19322 BEACH BLVD
City HUNTINGTON BEACH
State CA
ZIP 92648
Phone 949 515-9191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Independent
Lab Director MICHAEL BISHARA

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