05D2214019 CLIA NUMBER - EXODUS RECOVERY, INC CRISIS STABILIZATON CTR

Laboratory Demographics

  • CLIA Code: 05D2214019
  • Facility Name: EXODUS RECOVERY, INC CRISIS STABILIZATON CTR
  • Facility Address: 4411 EAST KINGS CANYON ROAD
    FRESNO, CA
    ZIP 93702
  • Facility Phone: 310 945-3350
  • Facility Type: Other - CRISIS STAB CTR
  • Facility Type: Waiver
  • Lab Director: GEORGE ARTHUR II BLAIR
  • NPI Number: 1831434000
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2214019
LAB Type Other - CRISIS STAB CTR
Facility Name EXODUS RECOVERY, INC CRISIS STABILIZATON CTR
Street 4411 EAST KINGS CANYON ROAD
City FRESNO
State CA
ZIP 93702
Phone 310 945-3350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Other - CRISIS STAB CTR
Lab Director GEORGE ARTHUR II BLAIR

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