05D2319946 CLIA NUMBER - ALTITUDE RECOVERY COMMUNITY NO 2 LLC

Laboratory Demographics

  • CLIA Code: 05D2319946
  • Facility Name: ALTITUDE RECOVERY COMMUNITY NO 2 LLC
  • Facility Address: 2511 WORTH WAY
    CAMARILLO, CA
    ZIP 93012
  • Facility Phone: 661 600-5245
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: ERIC CHAGHOURI
  • NPI Number: 1871173708
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2319946
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ALTITUDE RECOVERY COMMUNITY NO 2 LLC
Street 2511 WORTH WAY
City CAMARILLO
State CA
ZIP 93012
Phone 661 600-5245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ERIC CHAGHOURI

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