05D2126195 CLIA NUMBER - ACADIA MALIBU INC

Laboratory Demographics

  • CLIA Code: 05D2126195
  • Facility Name: ACADIA MALIBU INC
  • Facility Address: 3744 S BARRINGTON AVE
    LOS ANGELES, CA
    ZIP 90066
  • Facility Phone: 805 701-7145
  • Facility Type: Other - RESIDENTIAL DETOX
  • Facility Type: Waiver
  • Lab Director: JASON E. GILES MD
  • NPI Number: 1538538574
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2126195
LAB Type Other - RESIDENTIAL DETOX
Facility Name ACADIA MALIBU INC
Street 3744 S BARRINGTON AVE
City LOS ANGELES
State CA
ZIP 90066
Phone 805 701-7145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Other - RESIDENTIAL DETOX
Lab Director JASON E. GILES MD

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