05D2303016 CLIA NUMBER - 417 ORANGE COUNTY LLC

Laboratory Demographics

  • CLIA Code: 05D2303016
  • Facility Name: 417 ORANGE COUNTY LLC
  • Facility Address: 26010 ACERO SUITE 200
    MISSION VIEJO, CA
    ZIP 92691
  • Facility Phone: 888 417-2417
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ALEJANDRO ALVA
  • NPI Number: 1649047242
  • Taxonomy: 3245S0500X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2303016
LAB Type Comp. Outpatient Rehab Facility
Facility Name 417 ORANGE COUNTY LLC
Street 26010 ACERO SUITE 200
City MISSION VIEJO
State CA
ZIP 92691
Phone 888 417-2417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director ALEJANDRO ALVA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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