05D2153938 CLIA NUMBER - HATHAWAY RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2153938
  • Facility Name: HATHAWAY RECOVERY
  • Facility Address: 1042 E BELMONT ABBEY LANE
    CLAREMONT, CA
    ZIP 91711
  • Facility Phone: 909 971-3333
  • Facility Type: Other - RESID ALCOHOL/DRUG FAC
  • Facility Type: Waiver
  • Lab Director: JONATHAN REITMAN
  • NPI Number: 1548718190
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2153938
LAB Type Other - RESID ALCOHOL/DRUG FAC
Facility Name HATHAWAY RECOVERY
Street 1042 E BELMONT ABBEY LANE
City CLAREMONT
State CA
ZIP 91711
Phone 909 971-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Other - RESID ALCOHOL/DRUG FAC
Lab Director JONATHAN REITMAN

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