05D2138585 CLIA NUMBER - MARK'S HOUSE

Laboratory Demographics

  • CLIA Code: 05D2138585
  • Facility Name: MARK'S HOUSE
  • Facility Address: 3821 MARKS ROAD
    AGOURA HILLS, CA
    ZIP 91301
  • Facility Phone: 818 318-1025
  • Facility Type: Other - MENTAL HEALTH RESIDENTIAL
  • Facility Type: Waiver
  • Lab Director: LOUIE MICHAEL
  • NPI Number: 1598298515
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2138585
LAB Type Other - MENTAL HEALTH RESIDENTIAL
Facility Name MARK'S HOUSE
Street 3821 MARKS ROAD
City AGOURA HILLS
State CA
ZIP 91301
Phone 818 318-1025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Other - MENTAL HEALTH RESIDENTIAL
Lab Director LOUIE MICHAEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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