05D2090099 CLIA NUMBER - DISCOVERY TRANSITIONS OUTPATIENT

Laboratory Demographics

  • CLIA Code: 05D2090099
  • Facility Name: DISCOVERY TRANSITIONS OUTPATIENT
  • Facility Address: 17635 VANOWEN ST
    VAN NUYS, CA
    ZIP 91406
  • Facility Phone: 805 228-2826
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: BEVERLY READER
  • NPI Number: 1386170900
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2090099
LAB Type Comp. Outpatient Rehab Facility
Facility Name DISCOVERY TRANSITIONS OUTPATIENT
Street 17635 VANOWEN ST
City VAN NUYS
State CA
ZIP 91406
Phone 805 228-2826
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director BEVERLY READER

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