05D2121987 CLIA NUMBER - CAPO CANYON RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2121987
  • Facility Name: CAPO CANYON RECOVERY
  • Facility Address: 26991 EL CIERVO LN
    MISSION VIEJO, CA
    ZIP 92691
  • Facility Phone: 800 804-8714
  • Facility Type: Other - RESIDENTAIL TREATMENT FAC
  • Facility Type: Waiver
  • Lab Director: RANDALL TURNER
  • NPI Number: 1124560297
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2121987
LAB Type Other - RESIDENTAIL TREATMENT FAC
Facility Name CAPO CANYON RECOVERY
Street 26991 EL CIERVO LN
City MISSION VIEJO
State CA
ZIP 92691
Phone 800 804-8714
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Other - RESIDENTAIL TREATMENT FAC
Lab Director RANDALL TURNER

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