05D2225418 CLIA NUMBER - AMHS EXODUS CRISIS RESIDENTIAL BE WELL ORANGE

Laboratory Demographics

  • CLIA Code: 05D2225418
  • Facility Name: AMHS EXODUS CRISIS RESIDENTIAL BE WELL ORANGE
  • Facility Address: 265 SOUTH ANITA DRIVE 2ND FLOOR
    ORANGE, CA
    ZIP 92868
  • Facility Phone: 310 945-3350
  • Facility Type: Other - CRISIS RESIDENTIAL
  • Facility Type: Waiver
  • Lab Director: GEORGE BLAIR
  • NPI Number: 1376146050
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2225418
LAB Type Other - CRISIS RESIDENTIAL
Facility Name AMHS EXODUS CRISIS RESIDENTIAL BE WELL ORANGE
Street 265 SOUTH ANITA DRIVE 2ND FLOOR
City ORANGE
State CA
ZIP 92868
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 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Other - CRISIS RESIDENTIAL
Lab Director GEORGE BLAIR

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