05D2306103 CLIA NUMBER - CLEAR RECOVERY CENTER - 769 N ORANGE GROVE BLVD

Laboratory Demographics

  • CLIA Code: 05D2306103
  • Facility Name: CLEAR RECOVERY CENTER - 769 N ORANGE GROVE BLVD
  • Facility Address: 769 N. ORANGE GROVE BLVD
    PASADENA, CA
    ZIP 91103
  • Facility Phone: 424 477-9547
  • Facility Type: Other - BEHAVIORAL HLTH OUTPATIEN
  • Facility Type: Waiver
  • Lab Director: HAIYAN WANG
  • NPI Number: 1134975105
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2306103
LAB Type Other - BEHAVIORAL HLTH OUTPATIEN
Facility Name CLEAR RECOVERY CENTER - 769 N ORANGE GROVE BLVD
Street 769 N. ORANGE GROVE BLVD
City PASADENA
State CA
ZIP 91103
Phone 424 477-9547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Other - BEHAVIORAL HLTH OUTPATIEN
Lab Director HAIYAN WANG

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