05D1004808 CLIA NUMBER - COLLABORATIVE NEUROSCIENCE RESEARCH LLC

Laboratory Demographics

  • CLIA Code: 05D1004808
  • Facility Name: COLLABORATIVE NEUROSCIENCE RESEARCH LLC
  • Facility Address: 12772 VALLEY VIEW ST, STE 3
    GARDEN GROVE, CA
    ZIP 92845
  • Facility Phone: 714 799-7799
  • Facility Type: Other - RESEARCH ONLY
  • Facility Type: Waiver
  • Lab Director: HAIG A. GOENJIAN
  • NPI Number: 1174950851
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D1004808
LAB Type Other - RESEARCH ONLY
Facility Name COLLABORATIVE NEUROSCIENCE RESEARCH LLC
Street 12772 VALLEY VIEW ST, STE 3
City GARDEN GROVE
State CA
ZIP 92845
Phone 714 799-7799
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Other - RESEARCH ONLY
Lab Director HAIG A. GOENJIAN

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This page was last updated on: 9/29/2025