05D2070195 CLIA NUMBER - SOUTH COAST COUNSELING INC

Laboratory Demographics

  • CLIA Code: 05D2070195
  • Facility Name: SOUTH COAST COUNSELING INC
  • Facility Address: 693 PLUMER ST
    COSTA MESA, CA
    ZIP 92627
  • Facility Phone: 949 449-3422
  • Facility Type: Other - ALCOHOL - DRUG TREATMEN
  • Facility Type: Waiver
  • Lab Director: LAWRENCE A. TUCKER
  • NPI Number: 1609209097
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Other - ALCOHOL - DRUG TREATMEN
Lab Director LAWRENCE A. TUCKER

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