05D2244688 CLIA NUMBER - OCEAN COAST RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2244688
  • Facility Name: OCEAN COAST RECOVERY CENTER
  • Facility Address: 1799 HUMMINGBIRD DR
    COSTA MESA, CA
    ZIP 92626
  • Facility Phone: 949 599-4047
  • Facility Type: Other - DETOX & RESIDENTIAL SUD T
  • Facility Type: Waiver
  • Lab Director: CHRISTIAN SMALL
  • NPI Number: 1730758491
  • Taxonomy: 276400000X - Rehabilitation, Substance Use Disorder Unit

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CLIA Record

Field Name Field Value
CLIA Number 05D2244688
LAB Type Other - DETOX & RESIDENTIAL SUD T
Facility Name OCEAN COAST RECOVERY CENTER
Street 1799 HUMMINGBIRD DR
City COSTA MESA
State CA
ZIP 92626
Phone 949 599-4047
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Other - DETOX & RESIDENTIAL SUD T
Lab Director CHRISTIAN SMALL

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