05D2145208 CLIA NUMBER - EVOLVE TREATMENT CENTERS - LOCATION 7 SAN DIEGO

Laboratory Demographics

  • CLIA Code: 05D2145208
  • Facility Name: EVOLVE TREATMENT CENTERS - LOCATION 7 SAN DIEGO
  • Facility Address: 11585 SORRENTO VALLEY RD, SUITE 101
    SAN DIEGO, CA
    ZIP 92121
  • Facility Phone: 774 239-1043
  • Facility Type: Other - RESIDENTIAL TRTMNT CENTER
  • Facility Type: Waiver
  • Lab Director: MELISSA VALLAS
  • NPI Number: 1689114258
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2145208
LAB Type Other - RESIDENTIAL TRTMNT CENTER
Facility Name EVOLVE TREATMENT CENTERS - LOCATION 7 SAN DIEGO
Street 11585 SORRENTO VALLEY RD, SUITE 101
City SAN DIEGO
State CA
ZIP 92121
Phone 774 239-1043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Other - RESIDENTIAL TRTMNT CENTER
Lab Director MELISSA VALLAS

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