05D2301165 CLIA NUMBER - SIMPLE PATH RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 05D2301165
  • Facility Name: SIMPLE PATH RECOVERY LLC
  • Facility Address: 68 RIO RANCHO RD SUITE 201
    POMONA, CA
    ZIP 91766
  • Facility Phone: 914 301-3251
  • Facility Type: Other - SUBSTANCE USE TREAT
  • Facility Type: Waiver
  • Lab Director: LAWRENCE V. TUCKER
  • NPI Number: 1265210249
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2301165
LAB Type Other - SUBSTANCE USE TREAT
Facility Name SIMPLE PATH RECOVERY LLC
Street 68 RIO RANCHO RD SUITE 201
City POMONA
State CA
ZIP 91766
Phone 914 301-3251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Other - SUBSTANCE USE TREAT
Lab Director LAWRENCE V. TUCKER

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