05D2191300 CLIA NUMBER - LA JOLLA RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2191300
  • Facility Name: LA JOLLA RECOVERY
  • Facility Address: 5978 LA JOLLA CORONA DRIVE
    LA JOLLA, CA
    ZIP 92037
  • Facility Phone: 858 877-3422
  • Facility Type: Other - SUD RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: RODNEY D. COLLINS
  • NPI Number: 1689268294
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2191300
LAB Type Other - SUD RESIDENTIAL TREATMENT
Facility Name LA JOLLA RECOVERY
Street 5978 LA JOLLA CORONA DRIVE
City LA JOLLA
State CA
ZIP 92037
Phone 858 877-3422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Other - SUD RESIDENTIAL TREATMENT
Lab Director RODNEY D. COLLINS

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