AVERY LANE
NPI 1922552496
Clinic/Center - Rehabilitation, Substance Use Disorder in Novato, CA
NPI Status: Active since August 12, 2016
Contact Information
505 SAN MARIN DR
SUITE 300
NOVATO, CA
ZIP 94945
Phone: (415) 686-6127
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 05D2241857
- CLIA Cert. Type: Other - RESIDENTIAL REHAB FACILIT
- CLIA Exp. Date: 11-01-2025
About AVERY LANE
This page provides the complete NPI Profile along with additional information for Avery Lane, a provider established in Novato, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1922552496 assigned on August 2016. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Camille Hildebrand (Ceo/fonder)
- NPI
- 1922552496
- Provider Name
- AVERY LANE
- Entity Type
- Organization
- Location Address
- 505 SAN MARIN DR SUITE 300 NOVATO, CA 94945
- Location Phone
- (415) 686-6127
- Mailing Address
- 505 SAN MARIN DR STE A300 NOVATO, CA 94945
- Mailing Phone
- (415) 895-5360
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-12-2016
- Last Update Date
- 10-17-2023
- 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
- 05D2241857
- Facility Type
- Other - RESIDENTIAL REHAB FACILIT
- Certificate Effective Date
- November 02, 2023
- Certificate Expiration Date
- November 01, 2025
- Laboratory Director
- DAVID E. SMITH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Avery Lane 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.
Reviews for AVERY LANE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1922552496, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922552496, enumerated as an "organization" on August 12, 2016.
The provider is located at 505 SAN MARIN DR SUITE 300 NOVATO, CA 94945 and the phone number is (415) 686-6127.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
