05D2304345 CLIA NUMBER - HEALING PATH DETOX LLC

Laboratory Demographics

  • CLIA Code: 05D2304345
  • Facility Name: HEALING PATH DETOX LLC
  • Facility Address: 7661 AMBERLEAF CIR APT 1
    HUNTINGTON BEACH, CA
    ZIP 92648
  • Facility Phone: 310 343-8684
  • Facility Type: Other - RESIDENTIAL DRUG TREAT CT
  • Facility Type: Waiver
  • Lab Director: JOSEPH DESANTO
  • NPI Number: 1497209290
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2304345
LAB Type Other - RESIDENTIAL DRUG TREAT CT
Facility Name HEALING PATH DETOX LLC
Street 7661 AMBERLEAF CIR APT 1
City HUNTINGTON BEACH
State CA
ZIP 92648
Phone 310 343-8684
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 Other - RESIDENTIAL DRUG TREAT CT
Lab Director JOSEPH DESANTO

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