05D2301036 CLIA NUMBER - MOUNTAIN SKY RECOVERY, LLC

Laboratory Demographics

  • CLIA Code: 05D2301036
  • Facility Name: MOUNTAIN SKY RECOVERY, LLC
  • Facility Address: 39785 SPINNING WHEEL DR
    MURRIETA, CA
    ZIP 92562
  • Facility Phone: 949 228-8478
  • Facility Type: Other - DETOX/RESIDENTIAL HOME
  • Facility Type: Waiver
  • Lab Director: MITCHELL K. NAFICY
  • NPI Number: 1497486526
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2301036
LAB Type Other - DETOX/RESIDENTIAL HOME
Facility Name MOUNTAIN SKY RECOVERY, LLC
Street 39785 SPINNING WHEEL DR
City MURRIETA
State CA
ZIP 92562
Phone 949 228-8478
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Other - DETOX/RESIDENTIAL HOME
Lab Director MITCHELL K. NAFICY

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