05D2068130 CLIA NUMBER - BARN LIFE, LLC

Laboratory Demographics

  • CLIA Code: 05D2068130
  • Facility Name: BARN LIFE, LLC
  • Facility Address: 126 E 16TH ST
    COSTA MESA, CA
    ZIP 92627
  • Facility Phone: 949 229-6853
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: RYAN WRIGHT MD
  • NPI Number: 1083180095
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2068130
LAB Type Comp. Outpatient Rehab Facility
Facility Name BARN LIFE, LLC
Street 126 E 16TH ST
City COSTA MESA
State CA
ZIP 92627
Phone 949 229-6853
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Comp. Outpatient Rehab Facility
Lab Director RYAN WRIGHT MD

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