05D2288403 CLIA NUMBER - CAPISTRANO BEACH RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2288403
  • Facility Name: CAPISTRANO BEACH RECOVERY
  • Facility Address: 27381 SILVER CREEK DR
    SAN JUAN CAPISTRANO, CA
    ZIP 92675
  • Facility Phone: 949 388-0112
  • Facility Type: Other - RESIDENT TREAT FACILITY
  • Facility Type: Waiver
  • Lab Director: ALEJANDRO ALVA
  • NPI Number: 1588092548
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 05D2288403
LAB Type Other - RESIDENT TREAT FACILITY
Facility Name CAPISTRANO BEACH RECOVERY
Street 27381 SILVER CREEK DR
City SAN JUAN CAPISTRANO
State CA
ZIP 92675
Phone 949 388-0112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Other - RESIDENT TREAT FACILITY
Lab Director ALEJANDRO ALVA

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