05D2126825 CLIA NUMBER - EVOLVE TREATMENT CENTERS - VANALDEN

Laboratory Demographics

CLIA Code: 05D2126825
Facility Name: EVOLVE TREATMENT CENTERS - VANALDEN
Facility Address: 5358 VANALDEN AVE
TARZANA, CA
ZIP 91356
Facility Phone: 818 938-4138
Facility Type: Other - RESIDENTIAL TREATMENT CTR
Facility Type: Waiver
Lab Director: MELISSA VALLAS
NPI Number: 1780130088
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	05D2126825
LAB Type	Other - RESIDENTIAL TREATMENT CTR
Facility Name	EVOLVE TREATMENT CENTERS - VANALDEN
Street	5358 VANALDEN AVE
City	TARZANA
State	CA
ZIP	91356
Phone	818 938-4138
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