05D2129044 CLIA NUMBER - RECOVERY MALIBU, INC

Laboratory Demographics

  • CLIA Code: 05D2129044
  • Facility Name: RECOVERY MALIBU, INC
  • Facility Address: 20723 ROCKCROFT DR
    MALIBU, CA
    ZIP 90265
  • Facility Phone: 424 781-4705
  • Facility Type: Other - FACILITY
  • Facility Type: Waiver
  • Lab Director: CRAIG V. SMITH
  • NPI Number: 1093182198
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2129044
LAB Type Other - FACILITY
Facility Name RECOVERY MALIBU, INC
Street 20723 ROCKCROFT DR
City MALIBU
State CA
ZIP 90265
Phone 424 781-4705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Other - FACILITY
Lab Director CRAIG V. SMITH

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This page was last updated on: 6/4/2025