05D2074603 CLIA NUMBER - NEW CREATION ADDICTION TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 05D2074603
  • Facility Name: NEW CREATION ADDICTION TREATMENT CENTER
  • Facility Address: 23950 PRADO LN
    COLTON, CA
    ZIP 92324
  • Facility Phone: 909 399-2222
  • Facility Type: Other - TREATMENT FACILITY
  • Facility Type: Waiver
  • Lab Director: MICHAEL VALDEZ
  • NPI Number: 1740569235
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2074603
LAB Type Other - TREATMENT FACILITY
Facility Name NEW CREATION ADDICTION TREATMENT CENTER
Street 23950 PRADO LN
City COLTON
State CA
ZIP 92324
Phone 909 399-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Other - TREATMENT FACILITY
Lab Director MICHAEL VALDEZ

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