05D2074624 CLIA NUMBER - SURF CITY RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2074624
  • Facility Name: SURF CITY RECOVERY
  • Facility Address: 18090 BEACH BLVD STE 5
    HUNTINGTON BEACH, CA
    ZIP 92648
  • Facility Phone: 714 841-3863
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: SANJAI THANKACHEN
  • NPI Number: 1578013603
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2074624
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name SURF CITY RECOVERY
Street 18090 BEACH BLVD STE 5
City HUNTINGTON BEACH
State CA
ZIP 92648
Phone 714 841-3863
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 - SUBSTANCE ABUSE TREATMENT
Lab Director SANJAI THANKACHEN

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