05D2158372 CLIA NUMBER - NEW EXISTENCE LLC

Laboratory Demographics

  • CLIA Code: 05D2158372
  • Facility Name: NEW EXISTENCE LLC
  • Facility Address: 423 13TH ST
    HUNTINGTON BEACH, CA
    ZIP 92648
  • Facility Phone: 714 330-2442
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: SANJAI THANKACHEN
  • NPI Number: 1396247003
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2158372
LAB Type Ancillary Testing Site in Health Care Center
Facility Name NEW EXISTENCE LLC
Street 423 13TH ST
City HUNTINGTON BEACH
State CA
ZIP 92648
Phone 714 330-2442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director SANJAI THANKACHEN

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