NEW FREEDOM RECOVERY CENTER LLC
NPI 1215352018
Clinic/Center - Rehabilitation, Substance Use Disorder in Bonney Lake, WA
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 50D2073233
- CLIA Cert. Type: Other - DRUG TREATMENT CENTER
- CLIA Exp. Date: 04-04-2028
About NEW FREEDOM RECOVERY CENTER LLC
This page provides the complete NPI Profile along with additional information for New Freedom Recovery Center Llc, a provider established in Bonney Lake, Washington operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1215352018 assigned on March 2014. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Matthew Luchini (Account Manager)
- NPI
- 1215352018 Verify this NPI
- Provider Name
- NEW FREEDOM RECOVERY CENTER LLC
- Entity Type
- Organization
- Location Address
- 10215 214TH AVE E BONNEY LAKE, WA 98391
- Location Phone
- (253) 862-7374
- Mailing Address
- 10215 214TH AVE E BONNEY LAKE, WA 98391
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-03-2014
- Last Update Date
- 03-03-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2073233
- Facility Type
- Other - DRUG TREATMENT CENTER
- Certificate Effective Date
- February 13, 2014
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- ERIC GILBERTSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to New Freedom Recovery Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
BONNEY LAKE, WA 98391
BONNEY LAKE, WA 98391
BONNEY LAKE, WA 98391
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215352018, enumerated as an "organization" on March 03, 2014.
The provider is located at 10215 214TH AVE E BONNEY LAKE, WA 98391 and the phone number is (253) 862-7374.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
