05D2142561 CLIA NUMBER - PARAGON RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2142561
  • Facility Name: PARAGON RECOVERY
  • Facility Address: 1852 SANTA MARGARITA DR
    FALLBROOK, CA
    ZIP 92028
  • Facility Phone: 760 731-1386
  • Facility Type: Other - INPATIENT DETOX RESIDENTI
  • Facility Type: Waiver
  • Lab Director: MIKE VALDEZ
  • NPI Number: 1679924666
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2142561
LAB Type Other - INPATIENT DETOX RESIDENTI
Facility Name PARAGON RECOVERY
Street 1852 SANTA MARGARITA DR
City FALLBROOK
State CA
ZIP 92028
Phone 760 731-1386
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Other - INPATIENT DETOX RESIDENTI
Lab Director MIKE VALDEZ

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