05D2300830 CLIA NUMBER - SAFE REFUGE

Laboratory Demographics

  • CLIA Code: 05D2300830
  • Facility Name: SAFE REFUGE
  • Facility Address: 1046 REDONDO AVENUE
    LONG BEACH, CA
    ZIP 90804
  • Facility Phone: 562 987-5722
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: NERISSA SIBAL
  • NPI Number: 1518340082
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2300830
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name SAFE REFUGE
Street 1046 REDONDO AVENUE
City LONG BEACH
State CA
ZIP 90804
Phone 562 987-5722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director NERISSA SIBAL

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