05D2310583 CLIA NUMBER - EVEXIA HEALTH SERVICES - MORENO VALLEY

Laboratory Demographics

  • CLIA Code: 05D2310583
  • Facility Name: EVEXIA HEALTH SERVICES - MORENO VALLEY
  • Facility Address: 24941 DRACAEA AVE
    MORENO VALLEY, CA
    ZIP 92553
  • Facility Phone: 951 579-6353
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: TOMMY ZAHARAKIS
  • NPI Number: 1760256069
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2310583
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name EVEXIA HEALTH SERVICES - MORENO VALLEY
Street 24941 DRACAEA AVE
City MORENO VALLEY
State CA
ZIP 92553
Phone 951 579-6353
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 - SUBSTANCE ABUSE TREATMENT
Lab Director TOMMY ZAHARAKIS

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