05D2119335 CLIA NUMBER - PARADIGM TREATMENT CENTERS LLC

Laboratory Demographics

  • CLIA Code: 05D2119335
  • Facility Name: PARADIGM TREATMENT CENTERS LLC
  • Facility Address: 29245 CLIFFSIDE DR
    MALIBU, CA
    ZIP 90265
  • Facility Phone: 310 457-7128
  • Facility Type: Other - RESIDENTAL TRT FACILITY
  • Facility Type: Waiver
  • Lab Director: GINA K. IN
  • NPI Number: 1720677883
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2119335
LAB Type Other - RESIDENTAL TRT FACILITY
Facility Name PARADIGM TREATMENT CENTERS LLC
Street 29245 CLIFFSIDE DR
City MALIBU
State CA
ZIP 90265
Phone 310 457-7128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Other - RESIDENTAL TRT FACILITY
Lab Director GINA K. IN

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