05D2304975 CLIA NUMBER - FRIENDLY RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2304975
  • Facility Name: FRIENDLY RECOVERY CENTER
  • Facility Address: 17601 17TH ST, STE 120
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 657 218-9125
  • Facility Type: Other - SUBSTANCE USE DISORDER TR
  • Facility Type: Waiver
  • Lab Director: WARREN TAFF
  • NPI Number: 1073372744
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2304975
LAB Type Other - SUBSTANCE USE DISORDER TR
Facility Name FRIENDLY RECOVERY CENTER
Street 17601 17TH ST, STE 120
City TUSTIN
State CA
ZIP 92780
Phone 657 218-9125
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 - SUBSTANCE USE DISORDER TR
Lab Director WARREN TAFF

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