05D2123541 CLIA NUMBER - CAST CENTERS LLC

Laboratory Demographics

  • CLIA Code: 05D2123541
  • Facility Name: CAST CENTERS LLC
  • Facility Address: 630 N DOHENY DR
    WEST HOLLYWOOD, CA
    ZIP 90069
  • Facility Phone: 310 873-3935
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM STANLEY
  • NPI Number: 1114388840
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2123541
LAB Type Comp. Outpatient Rehab Facility
Facility Name CAST CENTERS LLC
Street 630 N DOHENY DR
City WEST HOLLYWOOD
State CA
ZIP 90069
Phone 310 873-3935
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director WILLIAM STANLEY

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