05D2317292 CLIA NUMBER - OCEANS LUXURY REHAB

Laboratory Demographics

  • CLIA Code: 05D2317292
  • Facility Name: OCEANS LUXURY REHAB
  • Facility Address: 147 EL LEVANTE
    SAN CLEMENTE, CA
    ZIP 92672
  • Facility Phone: 949 503-3857
  • Facility Type: Other - DRUG & ALCOHOL TREATMENT
  • Facility Type: Waiver
  • Lab Director: K MITCHELL NAFICY
  • NPI Number: 1558045518
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2317292
LAB Type Other - DRUG & ALCOHOL TREATMENT
Facility Name OCEANS LUXURY REHAB
Street 147 EL LEVANTE
City SAN CLEMENTE
State CA
ZIP 92672
Phone 949 503-3857
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Other - DRUG & ALCOHOL TREATMENT
Lab Director K MITCHELL NAFICY

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