05D2288735 CLIA NUMBER - NEW LIFE RECOVERY, LLC

Laboratory Demographics

  • CLIA Code: 05D2288735
  • Facility Name: NEW LIFE RECOVERY, LLC
  • Facility Address: 221 N. BROADWAY ST.
    FRESNO, CA
    ZIP 93701
  • Facility Phone: 559 455-8006
  • Facility Type: Other - SUBSTANCE USE TREATMENT
  • Facility Type: Waiver
  • Lab Director: JISEUNG D. YOON
  • NPI Number: 1407531338
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2288735
LAB Type Other - SUBSTANCE USE TREATMENT
Facility Name NEW LIFE RECOVERY, LLC
Street 221 N. BROADWAY ST.
City FRESNO
State CA
ZIP 93701
Phone 559 455-8006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2023
Certificate Expiration Date 8/28/2025
Facility Type Other - SUBSTANCE USE TREATMENT
Lab Director JISEUNG D. YOON

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This page was last updated on: 3/20/2025