05D2316169 CLIA NUMBER - LEGENDS HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 05D2316169
  • Facility Name: LEGENDS HEALTHCARE LLC
  • Facility Address: 25226 DERBY CIRCLE
    LAGUNA HILLS, CA
    ZIP 92653
  • Facility Phone: 888 894-7011
  • Facility Type: Other - RES. MENTAL HEALTH PRGRM
  • Facility Type: Waiver
  • Lab Director: ALEJANDRO ALVA
  • NPI Number: 1467286054
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2316169
LAB Type Other - RES. MENTAL HEALTH PRGRM
Facility Name LEGENDS HEALTHCARE LLC
Street 25226 DERBY CIRCLE
City LAGUNA HILLS
State CA
ZIP 92653
Phone 888 894-7011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Other - RES. MENTAL HEALTH PRGRM
Lab Director ALEJANDRO ALVA

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