05D2108471 CLIA NUMBER - LA JOLLA RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2108471
  • Facility Name: LA JOLLA RECOVERY
  • Facility Address: 7632 HERSCHEL AVE
    LA JOLLA, CA
    ZIP 92037
  • Facility Phone: 858 877-3422
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: RODNEY D. COLLINS
  • NPI Number: 1558600346
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2108471
LAB Type Comp. Outpatient Rehab Facility
Facility Name LA JOLLA RECOVERY
Street 7632 HERSCHEL AVE
City LA JOLLA
State CA
ZIP 92037
Phone 858 877-3422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director RODNEY D. COLLINS

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