05D2281533 CLIA NUMBER - HILLSIDE HORIZON FOR TEENS, LLC

Laboratory Demographics

  • CLIA Code: 05D2281533
  • Facility Name: HILLSIDE HORIZON FOR TEENS, LLC
  • Facility Address: 21811 RICHARD ST
    PERRIS, CA
    ZIP 92570
  • Facility Phone: 949 412-2049
  • Facility Type: Other - GROUP HOME
  • Facility Type: Waiver
  • Lab Director: LAWRENCE V. TUCKER
  • NPI Number: 1841914033
  • Taxonomy: 261QM0855X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2281533
LAB Type Other - GROUP HOME
Facility Name HILLSIDE HORIZON FOR TEENS, LLC
Street 21811 RICHARD ST
City PERRIS
State CA
ZIP 92570
Phone 949 412-2049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Other - GROUP HOME
Lab Director LAWRENCE V. TUCKER

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