05D2289579 CLIA NUMBER - HATCH BEHAVIORAL HEALTH LLC

Laboratory Demographics

  • CLIA Code: 05D2289579
  • Facility Name: HATCH BEHAVIORAL HEALTH LLC
  • Facility Address: 3455 E LA PALMA AVE SUITE 205
    ANAHEIM, CA
    ZIP 92806
  • Facility Phone: 714 603-7061
  • Facility Type: Other - SUD TREATMENT FACILITY
  • Facility Type: Waiver
  • Lab Director: CLINT SALO
  • NPI Number: 1285331124
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2289579
LAB Type Other - SUD TREATMENT FACILITY
Facility Name HATCH BEHAVIORAL HEALTH LLC
Street 3455 E LA PALMA AVE SUITE 205
City ANAHEIM
State CA
ZIP 92806
Phone 714 603-7061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Other - SUD TREATMENT FACILITY
Lab Director CLINT SALO

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