05D2308908 CLIA NUMBER - HILLSIDE HORIZON FOR TEENS LLC

Laboratory Demographics

  • CLIA Code: 05D2308908
  • Facility Name: HILLSIDE HORIZON FOR TEENS LLC
  • Facility Address: 19075 RIDGEVIEW RD
    VILLA PARK, CA
    ZIP 92861
  • Facility Phone: 949 274-3632
  • Facility Type: Other - GROUP HOME
  • Facility Type: Waiver
  • Lab Director: ALEJANDRO ALVA
  • NPI Number: 1659135911
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2308908
LAB Type Other - GROUP HOME
Facility Name HILLSIDE HORIZON FOR TEENS LLC
Street 19075 RIDGEVIEW RD
City VILLA PARK
State CA
ZIP 92861
Phone 949 274-3632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Other - GROUP HOME
Lab Director ALEJANDRO ALVA

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