05D2128372 CLIA NUMBER - REALIGN DETOX, LLC

Laboratory Demographics

  • CLIA Code: 05D2128372
  • Facility Name: REALIGN DETOX, LLC
  • Facility Address: 29552 CROWN CREEK
    LAGUNA NIGUEL, CA
    ZIP 92677
  • Facility Phone: 949 218-2063
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ARTURO PORTALES, DO
  • NPI Number: 1275999096
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2128372
LAB Type Physician Office
Facility Name REALIGN DETOX, LLC
Street 29552 CROWN CREEK
City LAGUNA NIGUEL
State CA
ZIP 92677
Phone 949 218-2063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director DR. ARTURO PORTALES, DO

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