05D2092574 CLIA NUMBER - MONTE NIDO VISTA

Laboratory Demographics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2092574
LAB Type Other - RESI MENTAL HLTH FACILITY
Facility Name MONTE NIDO VISTA
Street 28855 LAKE VISTA DRIVE
City AGOURA HILLS
State CA
ZIP 91301
Phone 818 338-7890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Other - RESI MENTAL HLTH FACILITY
Lab Director MOLLY M. PERLMAN

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