05D2310554 CLIA NUMBER - CHERRY HILL DETOX

Laboratory Demographics

  • CLIA Code: 05D2310554
  • Facility Name: CHERRY HILL DETOX
  • Facility Address: 2035 FAIRMONY DRIVE
    SAN LEANDRO, CA
    ZIP 94578
  • Facility Phone: 209 603-3915
  • Facility Type: Other - DHCS SUD TREATMENT PRGRM
  • Facility Type: Waiver
  • Lab Director: JOHN C. O NEIL
  • NPI Number: 1427234921
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2310554
LAB Type Other - DHCS SUD TREATMENT PRGRM
Facility Name CHERRY HILL DETOX
Street 2035 FAIRMONY DRIVE
City SAN LEANDRO
State CA
ZIP 94578
Phone 209 603-3915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Other - DHCS SUD TREATMENT PRGRM
Lab Director JOHN C. O NEIL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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