05D2152817 CLIA NUMBER - JOSHUA HOUSE, LLC

Laboratory Demographics

  • CLIA Code: 05D2152817
  • Facility Name: JOSHUA HOUSE, LLC
  • Facility Address: 9842 13TH STREET
    GARDEN GROVE, CA
    ZIP 92844
  • Facility Phone: 949 650-4334
  • Facility Type: Other - DRUG/ALCOHOL TREATMENT
  • Facility Type: Waiver
  • Lab Director: RAJAGOPAL KEERTHY SUNDER
  • NPI Number: 1093174302
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2152817
LAB Type Other - DRUG/ALCOHOL TREATMENT
Facility Name JOSHUA HOUSE, LLC
Street 9842 13TH STREET
City GARDEN GROVE
State CA
ZIP 92844
Phone 949 650-4334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Other - DRUG/ALCOHOL TREATMENT
Lab Director RAJAGOPAL KEERTHY SUNDER

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