05D2083201 CLIA NUMBER - AUTHENTIC RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 05D2083201
  • Facility Name: AUTHENTIC RECOVERY LLC
  • Facility Address: 2203 OVERLAND AVE
    LOS ANGELES, CA
    ZIP 90064
  • Facility Phone: 714 988-4381
  • Facility Type: Other - RESIDENTIAL DRUG & ALCOHO
  • Facility Type: Waiver
  • Lab Director: JONATHAN E. REITMAN
  • NPI Number: 1144971813
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2083201
LAB Type Other - RESIDENTIAL DRUG & ALCOHO
Facility Name AUTHENTIC RECOVERY LLC
Street 2203 OVERLAND AVE
City LOS ANGELES
State CA
ZIP 90064
Phone 714 988-4381
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Other - RESIDENTIAL DRUG & ALCOHO
Lab Director JONATHAN E. REITMAN

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This page was last updated on: 6/4/2025