05D2280167 CLIA NUMBER - REVIVING YOU RECOVERY HOUSE

Laboratory Demographics

  • CLIA Code: 05D2280167
  • Facility Name: REVIVING YOU RECOVERY HOUSE
  • Facility Address: 28889 PARK TRAIL WAY
    MENIFEE, CA
    ZIP 92584
  • Facility Phone: 951 723-7598
  • Facility Type: Other - SUBSTANCE USE DISORDER
  • Facility Type: Waiver
  • Lab Director: MICHAEL VALDEZ
  • NPI Number: 1770158545
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2280167
LAB Type Other - SUBSTANCE USE DISORDER
Facility Name REVIVING YOU RECOVERY HOUSE
Street 28889 PARK TRAIL WAY
City MENIFEE
State CA
ZIP 92584
Phone 951 723-7598
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Other - SUBSTANCE USE DISORDER
Lab Director MICHAEL VALDEZ

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