05D2304906 CLIA NUMBER - TEMPLE RECOVERY SERVICES

Laboratory Demographics

  • CLIA Code: 05D2304906
  • Facility Name: TEMPLE RECOVERY SERVICES
  • Facility Address: 4921 HOLLYLINE AVE
    SANTA ANA, CA
    ZIP 92703
  • Facility Phone: 949 445-2716
  • Facility Type: Other - DETOX RESID SA FACILITY
  • Facility Type: Waiver
  • Lab Director: MITCHELL NAFICY
  • NPI Number: 1407593072
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2304906
LAB Type Other - DETOX RESID SA FACILITY
Facility Name TEMPLE RECOVERY SERVICES
Street 4921 HOLLYLINE AVE
City SANTA ANA
State CA
ZIP 92703
Phone 949 445-2716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Other - DETOX RESID SA FACILITY
Lab Director MITCHELL NAFICY

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