05D2133474 CLIA NUMBER - PACIFIC RECOVERY SOLUTIONS

Laboratory Demographics

  • CLIA Code: 05D2133474
  • Facility Name: PACIFIC RECOVERY SOLUTIONS
  • Facility Address: 3229 HILLOCK DR
    LOS ANGELES, CA
    ZIP 90068
  • Facility Phone: 951 275-1732
  • Facility Type: Other - RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: RYAN PETERSON, MD
  • NPI Number: 1417432071
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2133474
LAB Type Other - RESIDENTIAL TREATMENT
Facility Name PACIFIC RECOVERY SOLUTIONS
Street 3229 HILLOCK DR
City LOS ANGELES
State CA
ZIP 90068
Phone 951 275-1732
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Other - RESIDENTIAL TREATMENT
Lab Director RYAN PETERSON, MD

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