05D2230711 CLIA NUMBER - HEALING HAVEN

Laboratory Demographics

CLIA Number: 05D2230711

Facility Name: HEALING HAVEN

Facility Address:
1865 9TH ST
SANTA MONICA, CA
ZIP 90404
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Facility Phone Number: 310 314-6200

Facility Type: Other - SUBSTANCE USE RES TRTMENT

Certificate Type: Waiver

NPI Number: 1265707152

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	05D2230711
LAB Type	Other - SUBSTANCE USE RES TRTMENT
Facility Name	HEALING HAVEN
Street	1865 9TH ST
City	SANTA MONICA
State	CA
ZIP	90404
Phone	310 314-6200
CertificateType	4
CertificateEffectiveDate	7/27/2023
CertificateExpirationDate	7/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024