05D2277356 CLIA NUMBER - TRUE RECOVERY LP

Laboratory Demographics

CLIA Number: 05D2277356

Facility Name: TRUE RECOVERY LP

Facility Address:
20621 PAISLEY LANE
HUNTINGTON BEACH, CA
ZIP 92646
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Facility Phone Number: 949 864-6250

Facility Type: Other - SUBSTANCE ABUSE FACILITY

Certificate Type: Waiver

NPI Number: 1689221491

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2277356
LAB Type	Other - SUBSTANCE ABUSE FACILITY
Facility Name	TRUE RECOVERY LP
Street	20621 PAISLEY LANE
City	HUNTINGTON BEACH
State	CA
ZIP	92646
Phone	949 864-6250
CertificateType	4
CertificateEffectiveDate	2/24/2023
CertificateExpirationDate	2/23/2025
FacilityType	Waiver

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