05D2158372 CLIA NUMBER - NEW EXISTENCE LLC

Laboratory Demographics

CLIA Number: 05D2158372

Facility Name: NEW EXISTENCE LLC

Facility Address:
423 13TH ST
HUNTINGTON BEACH, CA
ZIP 92648
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Facility Phone Number: 714 330-2442

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1396247003

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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
CertificateType	4
CertificateEffectiveDate	11/28/2022
CertificateExpirationDate	11/27/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024