05D2298003 CLIA NUMBER - MONARCH RECOVERY INTENSIVE OUTPATIENT PROGRAM

Laboratory Demographics

  • CLIA Code: 05D2298003
  • Facility Name: MONARCH RECOVERY INTENSIVE OUTPATIENT PROGRAM
  • Facility Address: 2660 E MAIN ST #204
    VENTURA, CA
    ZIP 93003
  • Facility Phone: 805 850-2686
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ALEJANDRO ALVA
  • NPI Number: 1992441364
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2298003
LAB Type Comp. Outpatient Rehab Facility
Facility Name MONARCH RECOVERY INTENSIVE OUTPATIENT PROGRAM
Street 2660 E MAIN ST #204
City VENTURA
State CA
ZIP 93003
Phone 805 850-2686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director ALEJANDRO ALVA

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