05D2110005 CLIA NUMBER - CLEAR RECOVERY CENTER - HERONDO ST

Laboratory Demographics

  • CLIA Code: 05D2110005
  • Facility Name: CLEAR RECOVERY CENTER - HERONDO ST
  • Facility Address: 201 HERONDO ST
    REDONDO BEACH, CA
    ZIP 90277
  • Facility Phone: 424 477-9547
  • Facility Type: Other - BEHAVIORAL HEALTH OUTPATI
  • Facility Type: Waiver
  • Lab Director: HAIYAN WANG
  • NPI Number: 1386274108
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2110005
LAB Type Other - BEHAVIORAL HEALTH OUTPATI
Facility Name CLEAR RECOVERY CENTER - HERONDO ST
Street 201 HERONDO ST
City REDONDO BEACH
State CA
ZIP 90277
Phone 424 477-9547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Other - BEHAVIORAL HEALTH OUTPATI
Lab Director HAIYAN WANG

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