05D2288289 CLIA NUMBER - EMBRACE TREATMENT LLC

Laboratory Demographics

CLIA Number: 05D2288289

Facility Name: EMBRACE TREATMENT LLC

Facility Address:
1912 SUMBA CIRCLE
COSTA MESA, CA
ZIP 92626
Get Directions

Facility Phone Number: 562 666-6370

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1568132140

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	05D2288289
LAB Type	Practitioner Other
Facility Name	EMBRACE TREATMENT LLC
Street	1912 SUMBA CIRCLE
City	COSTA MESA
State	CA
ZIP	92626
Phone	562 666-6370
CertificateType	4
CertificateEffectiveDate	8/23/2023
CertificateExpirationDate	8/22/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024