05D2306749 CLIA NUMBER - CLEAR RECOVERY CENTER - 115 MAIN ST

Laboratory Demographics

  • CLIA Code: 05D2306749
  • Facility Name: CLEAR RECOVERY CENTER - 115 MAIN ST
  • Facility Address: 115 MAIN ST
    EL SEGUNDO, CA
    ZIP 90245
  • Facility Phone: 424 477-9547
  • Facility Type: Other - BEHAVORIAL HEALTH OUTPATI
  • Facility Type: Waiver
  • Lab Director: HAIYAN WANG
  • NPI Number: 1962258939
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2306749
LAB Type Other - BEHAVORIAL HEALTH OUTPATI
Facility Name CLEAR RECOVERY CENTER - 115 MAIN ST
Street 115 MAIN ST
City EL SEGUNDO
State CA
ZIP 90245
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 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Other - BEHAVORIAL HEALTH OUTPATI
Lab Director HAIYAN WANG

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