05D2288044 CLIA NUMBER - HARBOR HEALTH LLC

Laboratory Demographics

  • CLIA Code: 05D2288044
  • Facility Name: HARBOR HEALTH LLC
  • Facility Address: 34405 VIA GOMEZ
    CAPISTRANO BEACH, CA
    ZIP 92624
  • Facility Phone: 949 359-5669
  • Facility Type: Other - RESIDENTIAL FACILITY
  • Facility Type: Accreditation
  • Lab Director: DR. JOHN B. STEWART
  • NPI Number: 1548958598
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2288044
LAB Type Other - RESIDENTIAL FACILITY
Facility Name HARBOR HEALTH LLC
Street 34405 VIA GOMEZ
City CAPISTRANO BEACH
State CA
ZIP 92624
Phone 949 359-5669
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Other - RESIDENTIAL FACILITY
Lab Director DR. JOHN B. STEWART

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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