05D2118706 CLIA NUMBER - PACIFIC SOLSTICE INTEGRATIVE CLINIC

Laboratory Demographics

  • CLIA Code: 05D2118706
  • Facility Name: PACIFIC SOLSTICE INTEGRATIVE CLINIC
  • Facility Address: 26732 CROWN VALLEY PKWY STE 443
    MISSION VIEJO, CA
    ZIP 92691
  • Facility Phone: 949 402-9520
  • Facility Type: Other - MENTAL HEALTH
  • Facility Type: Waiver
  • Lab Director: RANDALL TURNER
  • NPI Number: 1053771782
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2118706
LAB Type Other - MENTAL HEALTH
Facility Name PACIFIC SOLSTICE INTEGRATIVE CLINIC
Street 26732 CROWN VALLEY PKWY STE 443
City MISSION VIEJO
State CA
ZIP 92691
Phone 949 402-9520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Other - MENTAL HEALTH
Lab Director RANDALL TURNER

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