05D2281968 CLIA NUMBER - SURF CITY RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2281968
  • Facility Name: SURF CITY RECOVERY
  • Facility Address: 6002 DOYLE DRIVE
    HUNTINGTON BEACH, CA
    ZIP 92648
  • Facility Phone: 949 209-7765
  • Facility Type: Other - RESIDENTIAL DETOX SUD
  • Facility Type: Waiver
  • Lab Director: SANJAI THANKACHEN
  • NPI Number: 1255767125
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2281968
LAB Type Other - RESIDENTIAL DETOX SUD
Facility Name SURF CITY RECOVERY
Street 6002 DOYLE DRIVE
City HUNTINGTON BEACH
State CA
ZIP 92648
Phone 949 209-7765
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Other - RESIDENTIAL DETOX SUD
Lab Director SANJAI THANKACHEN

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