05D2205742 CLIA NUMBER - EVEXIA HEALTH SERVICES - CORONA

Laboratory Demographics

  • CLIA Code: 05D2205742
  • Facility Name: EVEXIA HEALTH SERVICES - CORONA
  • Facility Address: 109 EAST 11TH STREET
    CORONA, CA
    ZIP 92879
  • Facility Phone: 951 427-3482
  • Facility Type: Other - SUB ABUSE TREAT
  • Facility Type: Waiver
  • Lab Director: TOMMY ZAHARAKIS
  • NPI Number: 1720545742
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2205742
LAB Type Other - SUB ABUSE TREAT
Facility Name EVEXIA HEALTH SERVICES - CORONA
Street 109 EAST 11TH STREET
City CORONA
State CA
ZIP 92879
Phone 951 427-3482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Other - SUB ABUSE TREAT
Lab Director TOMMY ZAHARAKIS

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