05D2312225 CLIA NUMBER - PACIFIC BREEZE RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2312225
  • Facility Name: PACIFIC BREEZE RECOVERY
  • Facility Address: 6402 ATHENA DR
    HUNTINGTON BEACH, CA
    ZIP 92647
  • Facility Phone: 949 876-2671
  • Facility Type: Other - SUBSTANCE USE DISORDER TR
  • Facility Type: Waiver
  • Lab Director: JISEUNG YOON
  • NPI Number: 1083455976
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2312225
LAB Type Other - SUBSTANCE USE DISORDER TR
Facility Name PACIFIC BREEZE RECOVERY
Street 6402 ATHENA DR
City HUNTINGTON BEACH
State CA
ZIP 92647
Phone 949 876-2671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Other - SUBSTANCE USE DISORDER TR
Lab Director JISEUNG YOON

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