05D2070196 CLIA NUMBER - RYLIST INC DBA LAVENTANA TREATMENT PROGRAMS

Laboratory Demographics

  • CLIA Code: 05D2070196
  • Facility Name: RYLIST INC DBA LAVENTANA TREATMENT PROGRAMS
  • Facility Address: 1408 E THOUSAND OAKS BLVD
    THOUSAND OAKS, CA
    ZIP 91362
  • Facility Phone: 818 584-5615
  • Facility Type: Other - OUTPATIENT SUBS ABUSE FAC
  • Facility Type: Waiver
  • Lab Director: STEVEN F. RUH MD
  • NPI Number: 1407119670
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2070196
LAB Type Other - OUTPATIENT SUBS ABUSE FAC
Facility Name RYLIST INC DBA LAVENTANA TREATMENT PROGRAMS
Street 1408 E THOUSAND OAKS BLVD
City THOUSAND OAKS
State CA
ZIP 91362
Phone 818 584-5615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Other - OUTPATIENT SUBS ABUSE FAC
Lab Director STEVEN F. RUH MD

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