05D2058636 CLIA NUMBER - PACE RECOVERY CENTER, LLC

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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: (800) 526-1851

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1649520982

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	(800) 526-1851

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This page was last updated on: 5/11/2023