05D2074184 CLIA NUMBER - PASSAGES SILVER STRAND LLC

Laboratory Demographics

  • CLIA Code: 05D2074184
  • Facility Name: PASSAGES SILVER STRAND LLC
  • Facility Address: 224 E CLARA ST CLIENT BLDG
    PORT HUENEME, CA
    ZIP 93041
  • Facility Phone: 805 283-4737
  • Facility Type: Other - TREATMENT CENTER
  • Facility Type: Waiver
  • Lab Director: ATMAN R. REYES MD
  • NPI Number: 1770713497
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2074184
LAB Type Other - TREATMENT CENTER
Facility Name PASSAGES SILVER STRAND LLC
Street 224 E CLARA ST CLIENT BLDG
City PORT HUENEME
State CA
ZIP 93041
Phone 805 283-4737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Other - TREATMENT CENTER
Lab Director ATMAN R. REYES MD

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