05D2320674 CLIA NUMBER - NORTH STAR TREATMENT LLC

Laboratory Demographics

  • CLIA Code: 05D2320674
  • Facility Name: NORTH STAR TREATMENT LLC
  • Facility Address: 27772 CAMINOS LAS RAMBLAS
    SAN JUAN CAPISTRANO, CA
    ZIP 92675
  • Facility Phone: 949 677-0294
  • Facility Type: Other - RESIDENTIAL TREATMENT CEN
  • Facility Type: Waiver
  • Lab Director: CHRISTIAN SMALL
  • NPI Number: 1760221055
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2320674
LAB Type Other - RESIDENTIAL TREATMENT CEN
Facility Name NORTH STAR TREATMENT LLC
Street 27772 CAMINOS LAS RAMBLAS
City SAN JUAN CAPISTRANO
State CA
ZIP 92675
Phone 949 677-0294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Other - RESIDENTIAL TREATMENT CEN
Lab Director CHRISTIAN SMALL

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