05D2304312 CLIA NUMBER - EXIST CENTERS, LLC

Laboratory Demographics

  • CLIA Code: 05D2304312
  • Facility Name: EXIST CENTERS, LLC
  • Facility Address: 580 BROADWAY ST STE 301
    LAGUNA BEACH, CA
    ZIP 92651
  • Facility Phone: 844 708-2323
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RANDALL G. TURNER
  • NPI Number: 1598472805
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2304312
LAB Type Community Clinic
Facility Name EXIST CENTERS, LLC
Street 580 BROADWAY ST STE 301
City LAGUNA BEACH
State CA
ZIP 92651
Phone 844 708-2323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Community Clinic
Lab Director RANDALL G. TURNER

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