05D2172573 CLIA NUMBER - SOBER PARTNERS NETWORK

Laboratory Demographics

  • CLIA Code: 05D2172573
  • Facility Name: SOBER PARTNERS NETWORK
  • Facility Address: 1001 W 17TH STREET UNIT A
    COSTA MESA, CA
    ZIP 92626
  • Facility Phone: 855 997-2786
  • Facility Type: Other - SUBSTANCE ABUSE
  • Facility Type: Waiver
  • Lab Director: SANJAI, MATHEW THANKACHEN
  • NPI Number: 1639527518
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2172573
LAB Type Other - SUBSTANCE ABUSE
Facility Name SOBER PARTNERS NETWORK
Street 1001 W 17TH STREET UNIT A
City COSTA MESA
State CA
ZIP 92626
Phone 855 997-2786
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Other - SUBSTANCE ABUSE
Lab Director SANJAI, MATHEW THANKACHEN

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