LIBERTY HOUSE RECOVERY, LLC
NPI 1861145823
Substance Abuse Rehabilitation Facility in Redlands, CA
About Liberty House Recovery, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIBERTY HOUSE RECOVERY, LLC (NPI 1861145823) is a healthcare organization registered as a substance abuse rehabilitation facility in Redlands, California and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Lacey Leigh Ursich, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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
- 05D2273472
- Facility Type
- Other - DETOX RESIDENTIAL
- Certificate Effective Date
- December 14, 2024
- Certificate Expiration Date
- December 13, 2026
- Laboratory Director
- DAVID DEYHIMY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Liberty House Recovery, 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.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
REDLANDS, CA 92374
REDLANDS, CA 92374
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861145823, enumerated as an "organization" on January 31, 2022.
The provider is located at 710 THE TER REDLANDS, CA 92374 and the phone number is (909) 754-1712.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
