05D2072926 CLIA NUMBER - ELIJAHS HOUSE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 05D2072926
  • Facility Name: ELIJAHS HOUSE TREATMENT CENTER
  • Facility Address: 1408 N HILL AVE
    PASADENA, CA
    ZIP 91104
  • Facility Phone: 626 498-4551
  • Facility Type: Other - RESIDENTIAL TREATMENT CTR
  • Facility Type: Waiver
  • Lab Director: DR. MOSES NASSER
  • NPI Number: 1235472721
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2072926
LAB Type Other - RESIDENTIAL TREATMENT CTR
Facility Name ELIJAHS HOUSE TREATMENT CENTER
Street 1408 N HILL AVE
City PASADENA
State CA
ZIP 91104
Phone 626 498-4551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Other - RESIDENTIAL TREATMENT CTR
Lab Director DR. MOSES NASSER

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