05D2146125 CLIA NUMBER - SHORELINE RECOVERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2146125
  • Facility Name: SHORELINE RECOVERY CENTER LLC
  • Facility Address: 183 CALLE MAGDALENA STE 101
    ENCINITAS, CA
    ZIP 92024
  • Facility Phone: 866 278-8495
  • Facility Type: Other - OUTPATIENT BEHAVIORAL HEA
  • Facility Type: Waiver
  • Lab Director: MICHAEL N. MARKOPOULOS
  • NPI Number: 1003322033
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2146125
LAB Type Other - OUTPATIENT BEHAVIORAL HEA
Facility Name SHORELINE RECOVERY CENTER LLC
Street 183 CALLE MAGDALENA STE 101
City ENCINITAS
State CA
ZIP 92024
Phone 866 278-8495
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Other - OUTPATIENT BEHAVIORAL HEA
Lab Director MICHAEL N. MARKOPOULOS

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This page was last updated on: 6/4/2025