05D2156026 CLIA NUMBER - MY TIME RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 05D2156026
  • Facility Name: MY TIME RECOVERY LLC
  • Facility Address: 1107 W RIALTO
    FRESNO, CA
    ZIP 93710
  • Facility Phone: 559 293-4387
  • Facility Type: Other - INPATIENT REHAB
  • Facility Type: Waiver
  • Lab Director: SONAL PATEL
  • NPI Number: 1740786557
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2156026
LAB Type Other - INPATIENT REHAB
Facility Name MY TIME RECOVERY LLC
Street 1107 W RIALTO
City FRESNO
State CA
ZIP 93710
Phone 559 293-4387
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Other - INPATIENT REHAB
Lab Director SONAL PATEL

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