05D2274676 CLIA NUMBER - ACERA HEALTH,LLC

Laboratory Demographics

CLIA Code: 05D2274676
Facility Name: ACERA HEALTH,LLC
Facility Address: 3100 BIRSTOL STREET SUITE 250
COSTA MESA, CA
ZIP 92626
Facility Phone: 844 223-7212
Facility Type: Comp. Outpatient Rehab Facility
Facility Type: Waiver
Lab Director: RANDALL G. TURNER
NPI Number: 1043949456
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	05D2274676
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	ACERA HEALTH,LLC
Street	3100 BIRSTOL STREET SUITE 250
City	COSTA MESA
State	CA
ZIP	92626
Phone	844 223-7212
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/9/2025
Certificate Expiration Date	1/8/2027
Facility Type	Comp. Outpatient Rehab Facility
Lab Director	RANDALL G. TURNER

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This page was last updated on: 6/4/2025