05D2080629 CLIA NUMBER - CASA RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2080629
  • Facility Name: CASA RECOVERY
  • Facility Address: 31877 DEL OBISPO ST STE 104
    SAN JUAN CAPISTRANO, CA
    ZIP 92675
  • Facility Phone: 888 928-2272
  • Facility Type: Other - IN PATIENT RESIDENTIAL
  • Facility Type: Waiver
  • Lab Director: RANDALL TURNER DO
  • NPI Number: 1477981447
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2080629
LAB Type Other - IN PATIENT RESIDENTIAL
Facility Name CASA RECOVERY
Street 31877 DEL OBISPO ST STE 104
City SAN JUAN CAPISTRANO
State CA
ZIP 92675
Phone 888 928-2272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Other - IN PATIENT RESIDENTIAL
Lab Director RANDALL TURNER DO

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