05D2284886 CLIA NUMBER - POINT BREAK RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2284886
  • Facility Name: POINT BREAK RECOVERY
  • Facility Address: 2100 PIERPONT BLVD
    VENTURA, CA
    ZIP 93003
  • Facility Phone: 805 628-3383
  • Facility Type: Other - RESIDENTIAL SUD REHABILIT
  • Facility Type: Waiver
  • Lab Director: DAMON B. RASKIN
  • NPI Number: 1255030813
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2284886
LAB Type Other - RESIDENTIAL SUD REHABILIT
Facility Name POINT BREAK RECOVERY
Street 2100 PIERPONT BLVD
City VENTURA
State CA
ZIP 93003
Phone 805 628-3383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Other - RESIDENTIAL SUD REHABILIT
Lab Director DAMON B. RASKIN

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