05D2074152 CLIA NUMBER - PASSAGES MALIBU

Laboratory Demographics

  • CLIA Code: 05D2074152
  • Facility Name: PASSAGES MALIBU
  • Facility Address: 6428 MEADOWS CT
    MALIBU, CA
    ZIP 90265
  • Facility Phone: 310 589-2880
  • Facility Type: Other - RESIDENTIAL REHAB
  • Facility Type: Waiver
  • Lab Director: SIRI-SAT K. KHALSA MD
  • NPI Number: 1790942159
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2074152
LAB Type Other - RESIDENTIAL REHAB
Facility Name PASSAGES MALIBU
Street 6428 MEADOWS CT
City MALIBU
State CA
ZIP 90265
Phone 310 589-2880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Other - RESIDENTIAL REHAB
Lab Director SIRI-SAT K. KHALSA MD

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