05D2307905 CLIA NUMBER - JRA INC

Laboratory Demographics

  • CLIA Code: 05D2307905
  • Facility Name: JRA INC
  • Facility Address: 6880 PAKAMA LN
    VISTA, CA
    ZIP 92084
  • Facility Phone: 714 337-3308
  • Facility Type: Other - INPATIENT DETOX
  • Facility Type: Waiver
  • Lab Director: MITCHELL K. NAFICY
  • NPI Number: 1720731565
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2307905
LAB Type Other - INPATIENT DETOX
Facility Name JRA INC
Street 6880 PAKAMA LN
City VISTA
State CA
ZIP 92084
Phone 714 337-3308
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Other - INPATIENT DETOX
Lab Director MITCHELL K. NAFICY

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