05D2079521 CLIA NUMBER - CLIFFSIDE MALIBU

Laboratory Demographics

  • CLIA Code: 05D2079521
  • Facility Name: CLIFFSIDE MALIBU
  • Facility Address: 20729 ROCKCROFT DR
    MALIBU, CA
    ZIP 90265
  • Facility Phone: 855 777-4769
  • Facility Type: Other - RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: WILLIAM D. STANLEY
  • NPI Number: 1881904035
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2079521
LAB Type Other - RESIDENTIAL TREATMENT
Facility Name CLIFFSIDE MALIBU
Street 20729 ROCKCROFT DR
City MALIBU
State CA
ZIP 90265
Phone 855 777-4769
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Other - RESIDENTIAL TREATMENT
Lab Director WILLIAM D. STANLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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