05D2104483 CLIA NUMBER - THRIVE TREATMENT, LLC

Laboratory Demographics

  • CLIA Code: 05D2104483
  • Facility Name: THRIVE TREATMENT, LLC
  • Facility Address: 3101 OCEAN PARK BLVD STE 309
    SANTA MONICA, CA
    ZIP 90405
  • Facility Phone: 888 975-8474
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JAMES LUZANO MD
  • NPI Number: 1013396076
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2104483
LAB Type Comp. Outpatient Rehab Facility
Facility Name THRIVE TREATMENT, LLC
Street 3101 OCEAN PARK BLVD STE 309
City SANTA MONICA
State CA
ZIP 90405
Phone 888 975-8474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Comp. Outpatient Rehab Facility
Lab Director JAMES LUZANO MD

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