05D2275940 CLIA NUMBER - OCEAN ROCK RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2275940
  • Facility Name: OCEAN ROCK RECOVERY
  • Facility Address: 1100 QUAIL STREET STE 205
    NEWPORT BEACH, CA
    ZIP 92660
  • Facility Phone: 949 484-6334
  • Facility Type: Other - BEHAV HEALTH FACILITY
  • Facility Type: Waiver
  • Lab Director: LAWRENCE A. TUCKER
  • NPI Number: 1073142907
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2275940
LAB Type Other - BEHAV HEALTH FACILITY
Facility Name OCEAN ROCK RECOVERY
Street 1100 QUAIL STREET STE 205
City NEWPORT BEACH
State CA
ZIP 92660
Phone 949 484-6334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Other - BEHAV HEALTH FACILITY
Lab Director LAWRENCE A. TUCKER

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This page was last updated on: 3/20/2025