05D2267402 CLIA NUMBER - NEW EXPERIENCE

Laboratory Demographics

  • CLIA Code: 05D2267402
  • Facility Name: NEW EXPERIENCE
  • Facility Address: 701 E BALL RD STE 200
    ANAHEIM, CA
    ZIP 92805
  • Facility Phone: 714 814-0272
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANJAI THANKACHEN
  • NPI Number: 1073271011
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2267402
LAB Type Physician Office
Facility Name NEW EXPERIENCE
Street 701 E BALL RD STE 200
City ANAHEIM
State CA
ZIP 92805
Phone 714 814-0272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Physician Office
Lab Director SANJAI THANKACHEN

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