05D2124809 CLIA NUMBER - BAILARD HOUSE LLC

Laboratory Demographics

  • CLIA Code: 05D2124809
  • Facility Name: BAILARD HOUSE LLC
  • Facility Address: 31275 BAILARD RD
    MALIBU, CA
    ZIP 90265
  • Facility Phone: 818 668-4125
  • Facility Type: Other - SUBSTAANCE ABUSE FACILITY
  • Facility Type: Waiver
  • Lab Director: IMAN PARHAMI MD
  • NPI Number: 1831559293
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2124809
LAB Type Other - SUBSTAANCE ABUSE FACILITY
Facility Name BAILARD HOUSE LLC
Street 31275 BAILARD RD
City MALIBU
State CA
ZIP 90265
Phone 818 668-4125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Other - SUBSTAANCE ABUSE FACILITY
Lab Director IMAN PARHAMI MD

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