05D2171359 CLIA NUMBER - BAKERSFIELD RECOVERY SERVICES INC

Laboratory Demographics

CLIA Number: 05D2171359

Facility Name: BAKERSFIELD RECOVERY SERVICES INC

Facility Address:
531 KNOTTS
BAKERSFIELD, CA
ZIP 93305
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Facility Phone Number: 661 325-1817

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1699807503

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	05D2171359
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	BAKERSFIELD RECOVERY SERVICES INC
Street	531 KNOTTS
City	BAKERSFIELD
State	CA
ZIP	93305
Phone	661 325-1817
CertificateType	4
CertificateEffectiveDate	10/8/2022
CertificateExpirationDate	10/7/2024
FacilityType	Waiver

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