05D2311476 CLIA NUMBER - NORTH COASTAL REGIONAL RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2311476
  • Facility Name: NORTH COASTAL REGIONAL RECOVERY CENTER
  • Facility Address: 1701 MISSION AVENUE, UNIT 310
    OCEANSIDE, CA
    ZIP 92058
  • Facility Phone: 760 721-2781
  • Facility Type: Other - SBSTNCE USE DSORDR CLNC
  • Facility Type: Waiver
  • Lab Director: JAMES V. DUNFORD
  • NPI Number: 1518134246
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 05D2311476
LAB Type Other - SBSTNCE USE DSORDR CLNC
Facility Name NORTH COASTAL REGIONAL RECOVERY CENTER
Street 1701 MISSION AVENUE, UNIT 310
City OCEANSIDE
State CA
ZIP 92058
Phone 760 721-2781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Other - SBSTNCE USE DSORDR CLNC
Lab Director JAMES V. DUNFORD

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