05D1057984 CLIA NUMBER - BEHAVIORAL RESEARCH SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 05D1057984
  • Facility Name: BEHAVIORAL RESEARCH SPECIALISTS, LLC
  • Facility Address: 230 N MARYLAND AVE STE 207
    GLENDALE, CA
    ZIP 91206
  • Facility Phone: 888 255-5798
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSE M. CARR MD
  • NPI Number: 1235408089
  • Taxonomy: 103TP0016X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 05D1057984
LAB Type Physician Office
Facility Name BEHAVIORAL RESEARCH SPECIALISTS, LLC
Street 230 N MARYLAND AVE STE 207
City GLENDALE
State CA
ZIP 91206
Phone 888 255-5798
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Physician Office
Lab Director JESSE M. CARR MD

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