05D2157645 CLIA NUMBER - PACIFIC RECOVERY SOLUTIONS

Laboratory Demographics

  • CLIA Code: 05D2157645
  • Facility Name: PACIFIC RECOVERY SOLUTIONS
  • Facility Address: 7966 BEVERLY BLVD
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 918 804-7684
  • Facility Type: Other - OUTPATIENT TREATMENT
  • Facility Type: Waiver
  • Lab Director: RYAN PETERSON
  • NPI Number: 1215412879
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2157645
LAB Type Other - OUTPATIENT TREATMENT
Facility Name PACIFIC RECOVERY SOLUTIONS
Street 7966 BEVERLY BLVD
City LOS ANGELES
State CA
ZIP 90048
Phone 918 804-7684
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Other - OUTPATIENT TREATMENT
Lab Director RYAN PETERSON

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