05D2292975 CLIA NUMBER - KKB HEALTH SOLUTIONS DBA CLEAR LIFE RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2292975
  • Facility Name: KKB HEALTH SOLUTIONS DBA CLEAR LIFE RECOVERY
  • Facility Address: 15964 MCCORD CIR
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 561 860-6551
  • Facility Type: Other - SUBSTANCE USE DISORDER TR
  • Facility Type: Waiver
  • Lab Director: SANJAI THANKACHEN
  • NPI Number: 1619558566
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2292975
LAB Type Other - SUBSTANCE USE DISORDER TR
Facility Name KKB HEALTH SOLUTIONS DBA CLEAR LIFE RECOVERY
Street 15964 MCCORD CIR
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 561 860-6551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Other - SUBSTANCE USE DISORDER TR
Lab Director SANJAI THANKACHEN

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