05D2119451 CLIA NUMBER - WINDSTONE ADDICTION CENTER

Laboratory Demographics

  • CLIA Code: 05D2119451
  • Facility Name: WINDSTONE ADDICTION CENTER
  • Facility Address: 1310 WEST PEARL STREET
    ANAHEIM, CA
    ZIP 92801
  • Facility Phone: 714 384-3216
  • Facility Type: Other - RESIDENTIAL REHAB FACILIT
  • Facility Type: Waiver
  • Lab Director: MICHAEL BISHARA
  • NPI Number: 1568875839
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2119451
LAB Type Other - RESIDENTIAL REHAB FACILIT
Facility Name WINDSTONE ADDICTION CENTER
Street 1310 WEST PEARL STREET
City ANAHEIM
State CA
ZIP 92801
Phone 714 384-3216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Other - RESIDENTIAL REHAB FACILIT
Lab Director MICHAEL BISHARA

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