05D2095733 CLIA NUMBER - WINDWARD WAY RECOVERY

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Laboratory Demographics

CLIA Number: 05D2095733

Facility Name: WINDWARD WAY RECOVERY

Facility Address:
3822 CAMPUS DRIVE SUITE
NEWPORT BEACH, CA
ZIP 92660
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Facility Phone Number: 877 713-2669

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1215479431

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	05D2095733
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	WINDWARD WAY RECOVERY
Street	3822 CAMPUS DRIVE SUITE
City	NEWPORT BEACH
State	CA
ZIP	92660
Phone	877 713-2669
CertificateType	4
CertificateEffectiveDate	5/11/2023
CertificateExpirationDate	5/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024