05D2310729 CLIA NUMBER - SOCAL BEACH REHAB LLC

Laboratory Demographics

  • CLIA Code: 05D2310729
  • Facility Name: SOCAL BEACH REHAB LLC
  • Facility Address: 806 DELAWARE ST
    HUNTINGTON BEACH, CA
    ZIP 92648
  • Facility Phone: 949 434-0738
  • Facility Type: Other - BEHAVIORAL HEALTH CARE
  • Facility Type: Waiver
  • Lab Director: ROBERT JENNINGS
  • NPI Number: 1144915240
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2310729
LAB Type Other - BEHAVIORAL HEALTH CARE
Facility Name SOCAL BEACH REHAB LLC
Street 806 DELAWARE ST
City HUNTINGTON BEACH
State CA
ZIP 92648
Phone 949 434-0738
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Other - BEHAVIORAL HEALTH CARE
Lab Director ROBERT JENNINGS

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This page was last updated on: 6/4/2025