05D2091554 CLIA NUMBER - PILLARS RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2091554
  • Facility Name: PILLARS RECOVERY
  • Facility Address: 304 MARGAURITE AVE
    CORONA DEL MAR, CA
    ZIP 92625
  • Facility Phone: 949 514-5838
  • Facility Type: Other - TRTMNT RESID DETOX
  • Facility Type: Waiver
  • Lab Director: KAMBIZ KARIMI
  • NPI Number: 1861051799
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2091554
LAB Type Other - TRTMNT RESID DETOX
Facility Name PILLARS RECOVERY
Street 304 MARGAURITE AVE
City CORONA DEL MAR
State CA
ZIP 92625
Phone 949 514-5838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Other - TRTMNT RESID DETOX
Lab Director KAMBIZ KARIMI

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This page was last updated on: 6/4/2025