CLEAN & SOBER LIVING CORP
NPI 1477943496
Clinical Medical Laboratory in Costa Mesa, CA

Active since January 29, 2015
260 VICTORIA ST APT C1, COSTA MESA, CA 92627(949) 836-8779 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clean & Sober Living Corp NPPES

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

CLEAN & SOBER LIVING CORP (NPI 1477943496) is a healthcare organization registered as a clinical medical laboratory in Costa Mesa, California and active in the NPI registry since January 2015. The organization lists Cheryl Gwartney, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477943496
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameCLEAN & SOBER LIVING CORP
Location Address260 VICTORIA ST APT C1Costa Mesa, CA 92627-6002
Mailing Address23665 Birtcher DrLake Forest, CA 92630-1770 · (949) 278-2843
Organization SubpartNo
Authorized OfficialCheryl GwartneyCfo · (949) 278-2843
Enumeration DateJanuary 29, 2015
NPI 1477943496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.
260 VICTORIA ST APT C1, Costa Mesa, CA 92627

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 Clean & Sober Living Corp's NPI number?

The NPI number for Clean & Sober Living Corp is 1477943496. It was assigned to this organization in the NPPES registry on January 29, 2015.

Where is Clean & Sober Living Corp located?

Clean & Sober Living Corp is located at 260 Victoria St Apt C1, Costa Mesa, CA 92627. The listed phone number is (949) 836-8779.

What is Clean & Sober Living Corp's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Clean & Sober Living Corp was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.