05D2122141 CLIA NUMBER - 1 METHOD CENTER

Laboratory Demographics

  • CLIA Code: 05D2122141
  • Facility Name: 1 METHOD CENTER
  • Facility Address: 10254 BANNOCKBURN DR
    LOS ANGELES, CA
    ZIP 90064
  • Facility Phone: 310 837-7330
  • Facility Type: Other - TREATMENT CENTER
  • Facility Type: Waiver
  • Lab Director: EDWARD L. RICEBERG
  • NPI Number: 1881083566
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2122141
LAB Type Other - TREATMENT CENTER
Facility Name 1 METHOD CENTER
Street 10254 BANNOCKBURN DR
City LOS ANGELES
State CA
ZIP 90064
Phone 310 837-7330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Other - TREATMENT CENTER
Lab Director EDWARD L. RICEBERG

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