Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Shores Recovery, LLC

Organization Clinical Medical Laboratory · NPI 1942617295

Grace Shores Recovery, LLC is a Clinical Medical Laboratory in Costa Mesa, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3170 Manistee Dr
Costa Mesa, CA 92626-3124
Phone: (949) 220-3770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 05D2080278 (CA)

Record details

NPI number1942617295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Roberts — Medical Director · (951) 894-6900
NPI enumeratedJuly 18, 2014
Last updated in NPPESJuly 18, 2014
Mailing address3170 Manistee Dr, Costa Mesa, CA 92626-3124

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