CLEAN & SOBER LIVING CORP


Address: 260 Victoria St Apt C1, Costa Mesa, CA 92627-6002
Phone: 9498368779

CLEAN & SOBER LIVING CORP (NPI# 1477943496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477943496
Entity Type Organization
Organization Name CLEAN & SOBER LIVING CORP
Practice Address 260 Victoria St Apt C1
Costa Mesa
CA 92627-6002
Mailing Address 23665 Birtcher Dr
Lake Forest
CA 92630-1770
Practice Telephone 9498368779
Mailing Telephone 9492782843
Enumeration Date 2015-01-29
Last Update Date 2015-01-29
Authorized Official Name CHERYL GWARTNEY (CFO)
Authorized Official Telephone 9492782843
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Office Location

Street Address 260 VICTORIA ST APT C1
City COSTA MESA
State CA
Zip Code 92627-6002

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

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1124554027 Playa House, Inc. Clinical Medical Laboratory 2858 Drake Ave, Costa Mesa, CA 92626 2017-05-11
1871025916 Integritox Laboratories, LLC Clinical Medical Laboratory 3151 Airway Ave Ste M1, Costa Mesa, CA 92626-4626 2017-03-29
1942656954 Grace Shores Recovery, LLC Clinical Medical Laboratory 2554 Elden Ave, B103, Costa Mesa, CA 92627-5127 2016-05-09
1730570987 Us Lab, Inc Clinical Medical Laboratory 3194 Airport Loop Dr, Ste. A, Costa Mesa, CA 92626-3405 2015-02-10
1659779643 Element 7 Labs LLC Clinical Medical Laboratory 3189 Airway Ave, Suite D, Costa Mesa, CA 92626-4612 2014-12-08
1942617295 Grace Shores Recovery, LLC Clinical Medical Laboratory 3170 Manistee Dr, Costa Mesa, CA 92626-3124 2014-07-18
1497019111 Breakwater Medical Group LLC Clinical Medical Laboratory 357 Victoria St, Suite 2, Costa Mesa, CA 92627-1931 2012-06-27
1801162508 Ghost Line Labs,inc. Clinical Medical Laboratory 137 Masters Circle, Costa Mesa, CA 92627 2012-03-27
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Competitor

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City COSTA MESA
Zip Code 92627

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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