05D2294770 CLIA NUMBER - PROJECT RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2294770
  • Facility Name: PROJECT RECOVERY
  • Facility Address: 9760 BIRCH CANYON PLACE
    SAN DIEGO, CA
    ZIP 92126
  • Facility Phone: 619 957-2870
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. VALDEZ
  • NPI Number: 1821796103
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2294770
LAB Type Physician Office
Facility Name PROJECT RECOVERY
Street 9760 BIRCH CANYON PLACE
City SAN DIEGO
State CA
ZIP 92126
Phone 619 957-2870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Physician Office
Lab Director MICHAEL S. VALDEZ

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