05D2308220 CLIA NUMBER - PACIFIC BAY RECOVERY INC

Laboratory Demographics

  • CLIA Code: 05D2308220
  • Facility Name: PACIFIC BAY RECOVERY INC
  • Facility Address: 13518 JAMUL DRIVE
    JAMUL, CA
    ZIP 91935
  • Facility Phone: 858 829-2717
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. DUFFY
  • NPI Number: 1609599737
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2308220
LAB Type Independent
Facility Name PACIFIC BAY RECOVERY INC
Street 13518 JAMUL DRIVE
City JAMUL
State CA
ZIP 91935
Phone 858 829-2717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2024
Certificate Expiration Date 7/22/2026
Facility Type Independent
Lab Director MICHAEL S. DUFFY

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