05D2309593 CLIA NUMBER - MAGIC HOUSE RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2309593
  • Facility Name: MAGIC HOUSE RECOVERY
  • Facility Address: 2220 W JUDITH LANE
    ANAHEIM, CA
    ZIP 92804
  • Facility Phone: 949 992-0588
  • Facility Type: Other - DRUG & ALCOHOL TREATMENT
  • Facility Type: Waiver
  • Lab Director: K MITCHELL NAFICY
  • NPI Number: 1376140384
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2309593
LAB Type Other - DRUG & ALCOHOL TREATMENT
Facility Name MAGIC HOUSE RECOVERY
Street 2220 W JUDITH LANE
City ANAHEIM
State CA
ZIP 92804
Phone 949 992-0588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Other - DRUG & ALCOHOL TREATMENT
Lab Director K MITCHELL NAFICY

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