05D2314687 CLIA NUMBER - KNOX RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 05D2314687
  • Facility Name: KNOX RECOVERY LLC
  • Facility Address: 17280 NEWHOPE ST STE 2B
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 949 531-1624
  • Facility Type: Other - BEHAVIORAL HEALTHCARE
  • Facility Type: Waiver
  • Lab Director: VALEH KARIMKHANI
  • NPI Number: 1538910716
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2314687
LAB Type Other - BEHAVIORAL HEALTHCARE
Facility Name KNOX RECOVERY LLC
Street 17280 NEWHOPE ST STE 2B
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 949 531-1624
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Other - BEHAVIORAL HEALTHCARE
Lab Director VALEH KARIMKHANI

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