05D2070195 CLIA NUMBER - SOUTH COAST COUNSELING INC

Home > CLIA Lookup > 05D2070195

Laboratory Demographics

CLIA Number: 05D2070195

Facility Name: SOUTH COAST COUNSELING INC

Facility Address:
693 PLUMER ST
COSTA MESA, CA
ZIP 92627
Get Directions

Facility Phone Number: 949 449-3422

Facility Type: Other - ALCOHOL - DRUG TREATMEN

Certificate Type: Waiver

NPI Number: 1609209097

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	05D2070195
LAB Type	Other - ALCOHOL - DRUG TREATMEN
Facility Name	SOUTH COAST COUNSELING INC
Street	693 PLUMER ST
City	COSTA MESA
State	CA
ZIP	92627
Phone	949 449-3422
CertificateType	4
CertificateEffectiveDate	12/10/2023
CertificateExpirationDate	12/9/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024