05D2258592 CLIA NUMBER - EXODUS RECOVERY VISTA BEHAVIORAL HEALTH CRISIS STABILIZATION UNIT

Laboratory Demographics

  • CLIA Code: 05D2258592
  • Facility Name: EXODUS RECOVERY VISTA BEHAVIORAL HEALTH CRISIS STABILIZATION UNIT
  • Facility Address: 524 WEST VISTA WAY
    VISTA, CA
    ZIP 92083
  • Facility Phone: 310 945-3350
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: GEORGE ARTHUR BLAIR II
  • NPI Number: 1437704806
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2258592
LAB Type Community Clinic
Facility Name EXODUS RECOVERY VISTA BEHAVIORAL HEALTH CRISIS STABILIZATION UNIT
Street 524 WEST VISTA WAY
City VISTA
State CA
ZIP 92083
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 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Community Clinic
Lab Director GEORGE ARTHUR BLAIR II

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