05D2136318 CLIA NUMBER - IRIS HEALING RETREAT

Laboratory Demographics

  • CLIA Code: 05D2136318
  • Facility Name: IRIS HEALING RETREAT
  • Facility Address: 23033 OSTRONIC DR
    WOODLAND HILLS, CA
    ZIP 91367
  • Facility Phone: 844 663-4747
  • Facility Type: Other - ADDICTION TREATMENT CTR
  • Facility Type: Waiver
  • Lab Director: LISA M. BENYA, DO
  • NPI Number: 1861945560
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2136318
LAB Type Other - ADDICTION TREATMENT CTR
Facility Name IRIS HEALING RETREAT
Street 23033 OSTRONIC DR
City WOODLAND HILLS
State CA
ZIP 91367
Phone 844 663-4747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Other - ADDICTION TREATMENT CTR
Lab Director LISA M. BENYA, DO

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