05D2310046 CLIA NUMBER - ORANGE COUNTY DETOX LLC

Laboratory Demographics

  • CLIA Code: 05D2310046
  • Facility Name: ORANGE COUNTY DETOX LLC
  • Facility Address: 25842 ELDERBROOK LANE
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 949 973-2027
  • Facility Type: Other - RESIDENTIAL DRUG TREATMEN
  • Facility Type: Waiver
  • Lab Director: CLINT SALO
  • NPI Number: 1205924511
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D2310046
LAB Type Other - RESIDENTIAL DRUG TREATMEN
Facility Name ORANGE COUNTY DETOX LLC
Street 25842 ELDERBROOK LANE
City LAGUNA HILLS
State CA
ZIP 92653
Phone 949 973-2027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Other - RESIDENTIAL DRUG TREATMEN
Lab Director CLINT SALO

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