05D2290962 CLIA NUMBER - SOLACE TREATMENT CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2290962
  • Facility Name: SOLACE TREATMENT CENTER LLC
  • Facility Address: 12824 HADLEY ST STE 107
    WHITTIER, CA
    ZIP 90601
  • Facility Phone: 714 494-5171
  • Facility Type: Other - SUBSTANCE ABUSE FACILITY
  • Facility Type: Waiver
  • Lab Director: MITCHELL NAFICY
  • NPI Number: 1518619733
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2290962
LAB Type Other - SUBSTANCE ABUSE FACILITY
Facility Name SOLACE TREATMENT CENTER LLC
Street 12824 HADLEY ST STE 107
City WHITTIER
State CA
ZIP 90601
Phone 714 494-5171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2023
Certificate Expiration Date 10/2/2025
Facility Type Other - SUBSTANCE ABUSE FACILITY
Lab Director MITCHELL NAFICY

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