05D2058636 CLIA NUMBER - Pace Recovery Center, LLC

Laboratory Demographics

CLIA Number: 05D2058636

Facility Name: Pace Recovery Center, LLC

Facility Address:
528 16th St
Huntington Beach, CA
ZIP 92648
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Facility Phone Number: (714) 274-9239

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1134562374

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name Field Value
CLIA Number 05D2058636
LAB Type OTHER
Facility Name Pace Recovery Center, LLC
Street 528 16th St
City Huntington Beach
State CA
ZIP 92648
Phone (714) 274-9239

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This page was last updated on: 12/19/2019