05D2296144 CLIA NUMBER - EXODUS RECOVERY INC PSYCHIATRIC HEALTH FACILITY

Laboratory Demographics

  • CLIA Code: 05D2296144
  • Facility Name: EXODUS RECOVERY INC PSYCHIATRIC HEALTH FACILITY
  • Facility Address: 4411 EAST KINGS CANYONO ROAD
    FRESNO, CA
    ZIP 93702
  • Facility Phone: 310 945-3350
  • Facility Type: Other - PSYCHIATRIC HLTH
  • Facility Type: Waiver
  • Lab Director: GEORGE BLAIR
  • NPI Number: 1841929916
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2296144
LAB Type Other - PSYCHIATRIC HLTH
Facility Name EXODUS RECOVERY INC PSYCHIATRIC HEALTH FACILITY
Street 4411 EAST KINGS CANYONO ROAD
City FRESNO
State CA
ZIP 93702
Phone 310 945-3350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Other - PSYCHIATRIC HLTH
Lab Director GEORGE BLAIR

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