05D2131219 CLIA NUMBER - ANCHORED TIDES RECOVERY, INC.

Laboratory Demographics

  • CLIA Code: 05D2131219
  • Facility Name: ANCHORED TIDES RECOVERY, INC.
  • Facility Address: 19126 MAGNOLIA ST STE 101
    HUNTINGTON BEACH, CA
    ZIP 92646
  • Facility Phone: 949 220-3779
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ALVA ALVA, MD
  • NPI Number: 1750829016
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2131219
LAB Type Comp. Outpatient Rehab Facility
Facility Name ANCHORED TIDES RECOVERY, INC.
Street 19126 MAGNOLIA ST STE 101
City HUNTINGTON BEACH
State CA
ZIP 92646
Phone 949 220-3779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director ALVA ALVA, MD

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