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05D2170001 CLIA NUMBER - MONROE OPERATIONS, LLC DBA NEWPORT ACADEMY - EAST ROGERS

Laboratory Demographics

CLIA Number: 05D2170001

Facility Name: MONROE OPERATIONS, LLC DBA NEWPORT ACADEMY - EAST ROGERS

Facility Address:
20085 EAST ROGERS DRIVE
ORANGE, CA
ZIP 92869
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Facility Phone Number: 714 393-3523

Facility Type: Practitioner Other

Certificate Type: Waiver
NPI Number: 1982940383

Taxonomy: 3245S0500X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

CLIA Record

Field Name Field Value
CLIA Number 05D2170001
LAB Type Practitioner Other
Facility Name MONROE OPERATIONS, LLC DBA NEWPORT ACADEMY - EAST ROGERS
Street 20085 EAST ROGERS DRIVE
City ORANGE
State CA
ZIP 92869
Phone 714 393-3523
CertificateType 4
CertificateEffectiveDate 7/31/2023
CertificateExpirationDate 7/30/2025
FacilityType Waiver

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