05D2126813 CLIA NUMBER - EVOLVE TREATMENT CENTERS - AGOURA

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CLIA Record

Field Name Field Value
CLIA Number 05D2126813
LAB Type Other - RESIDENTIAL TREATMENT CTR
Facility Name EVOLVE TREATMENT CENTERS - AGOURA
Street 6425 CHESEBRO DR
City AGOURA HILLS
State CA
ZIP 91301
Phone 818 699-6734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Other - RESIDENTIAL TREATMENT CTR
Lab Director MELISSA VALLAS

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