05D2045838 CLIA NUMBER - 449 RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2045838
  • Facility Name: 449 RECOVERY
  • Facility Address: 26010 ACERO
    MISSION VIEJO, CA
    ZIP 92691
  • Facility Phone: 855 449-4490
  • Facility Type: Other - INTENSIVE OUTPATIENT TREA
  • Facility Type: Waiver
  • Lab Director: ALEJANDRO ALVA
  • NPI Number: 1932473329
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2045838
LAB Type Other - INTENSIVE OUTPATIENT TREA
Facility Name 449 RECOVERY
Street 26010 ACERO
City MISSION VIEJO
State CA
ZIP 92691
Phone 855 449-4490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Other - INTENSIVE OUTPATIENT TREA
Lab Director ALEJANDRO ALVA

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