05D2232941 CLIA NUMBER - MONARCH RECOVERY INTENSIVE OUTPATIENT PROGRAM

Laboratory Demographics

  • CLIA Code: 05D2232941
  • Facility Name: MONARCH RECOVERY INTENSIVE OUTPATIENT PROGRAM
  • Facility Address: 1445 DONLON ST STE 15
    VENTURA, CA
    ZIP 93003
  • Facility Phone: 805 850-2686
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ALEJANDRO ALVA
  • NPI Number: 1841953395
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2232941
LAB Type Comp. Outpatient Rehab Facility
Facility Name MONARCH RECOVERY INTENSIVE OUTPATIENT PROGRAM
Street 1445 DONLON ST STE 15
City VENTURA
State CA
ZIP 93003
Phone 805 850-2686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director ALEJANDRO ALVA

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