05D2160468 CLIA NUMBER - HILLSIDE MISSION, LLC

Laboratory Demographics

  • CLIA Code: 05D2160468
  • Facility Name: HILLSIDE MISSION, LLC
  • Facility Address: 23371 ROCKROSE
    MISSION VIEJO, CA
    ZIP 92692
  • Facility Phone: 949 418-6825
  • Facility Type: Other - DETOX & RESIDENTIAL SUD
  • Facility Type: Waiver
  • Lab Director: DAVID DEYHIMY
  • NPI Number: 1801328505
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2160468
LAB Type Other - DETOX & RESIDENTIAL SUD
Facility Name HILLSIDE MISSION, LLC
Street 23371 ROCKROSE
City MISSION VIEJO
State CA
ZIP 92692
Phone 949 418-6825
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Other - DETOX & RESIDENTIAL SUD
Lab Director DAVID DEYHIMY

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