05D2140422 CLIA NUMBER - RENAISSANCE RECOVERY, LLC

Laboratory Demographics

  • CLIA Code: 05D2140422
  • Facility Name: RENAISSANCE RECOVERY, LLC
  • Facility Address: 10175 SLATER AVE, STE 200
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 702 354-6413
  • Facility Type: Other - SUD FACILITY
  • Facility Type: Waiver
  • Lab Director: DR. RANDALL G. TURNER
  • NPI Number: 1891216511
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2140422
LAB Type Other - SUD FACILITY
Facility Name RENAISSANCE RECOVERY, LLC
Street 10175 SLATER AVE, STE 200
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 702 354-6413
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Other - SUD FACILITY
Lab Director DR. RANDALL G. TURNER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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