05D2267299 CLIA NUMBER - MURIEL WRIGHT RECOVERY CENTER CRTSUTS

Laboratory Demographics

CLIA Number: 05D2267299

Facility Name: MURIEL WRIGHT RECOVERY CENTER CRTSUTS

Facility Address:
298-B BERNAL RD
SAN JOSE, CA
ZIP 95119
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Facility Phone Number: 669 275-5242

Facility Type: Other - CRISIS RESIDENTIAL TREATM

Certificate Type: Waiver

NPI Number: 1407355548

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	05D2267299
LAB Type	Other - CRISIS RESIDENTIAL TREATM
Facility Name	MURIEL WRIGHT RECOVERY CENTER CRTSUTS
Street	298-B BERNAL RD
City	SAN JOSE
State	CA
ZIP	95119
Phone	669 275-5242
CertificateType	4
CertificateEffectiveDate	8/23/2022
CertificateExpirationDate	8/22/2024
FacilityType	Waiver

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