Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LAKEWOOD RECOVERY LLC
NPI 1073429346
Clinic/Center - Rehabilitation, Substance Use Disorder in Windsor, CA

Active since August 19, 2026CLIA 05D2326490 · Waiver
8911 LAKEWOOD DR STE 22A, WINDSOR, CA 95492(323) 510-1283 Get Directions Write a Review

NPPES record added: August 19, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Lakewood Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKEWOOD RECOVERY LLC (NPI 1073429346) is a healthcare organization registered as a rehabilitation, substance use disorder in Windsor, California and active in the NPI registry since August 2026. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists Amy Tello, Manager, as its authorized official.

NPPES Registry Identity

NPI1073429346
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameLAKEWOOD RECOVERY LLC
Location Address8911 LAKEWOOD DR STE 22AWindsor, CA 95492-7858
Mailing Address8911 Lakewood Dr Ste 22aWindsor, CA 95492-7858 · (323) 510-1283
Organization SubpartNo
Authorized OfficialAmy TelloManager · (323) 510-1283
Enumeration DateAugust 19, 2026
NPPES CertifiedAugust 19, 2026
NPI 1073429346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
8911 LAKEWOOD DR STE 22A, Windsor, CA 95492

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2326490

Lakewood Recovery LLC · Windsor, CA
Active · expires Jul 2, 2027
CLIA Number05D2326490
Laboratory TypeIop
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorSydney Abramson
Laboratory Phone(310) 343-8684
Laboratory LocationLakewood Recovery LLC8911 Lakewood Dr, Suite 22A, Windsor, CA 95492
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakewood Recovery LLC's NPI number?

The NPI number for Lakewood Recovery LLC is 1073429346. It was assigned to this organization in the NPPES registry on August 19, 2026.

Where is Lakewood Recovery LLC located?

Lakewood Recovery LLC is located at 8911 Lakewood Dr Ste 22A, Windsor, CA 95492. The listed phone number is (323) 510-1283.

What is Lakewood Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Lakewood Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2326490) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakewood Recovery LLC was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.