05D2158818 CLIA NUMBER - EVOLVE TREATMENT CENTERS LOCATION 9 CALABASAS

Laboratory Demographics

CLIA Code: 05D2158818
Facility Name: EVOLVE TREATMENT CENTERS LOCATION 9 CALABASAS
Facility Address: 423 WOODBLUFF ROAD
CALABASAS, CA
ZIP 91302
Facility Phone: 818 938-4138
Facility Type: Other - RESIDENTIAL TREATMENT
Facility Type: Waiver
Lab Director: MELISSA VALLAS
NPI Number: 1356857494
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	05D2158818
LAB Type	Other - RESIDENTIAL TREATMENT
Facility Name	EVOLVE TREATMENT CENTERS LOCATION 9 CALABASAS
Street	423 WOODBLUFF ROAD
City	CALABASAS
State	CA
ZIP	91302
Phone	818 938-4138
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/6/2024
Certificate Expiration Date	12/5/2026
Facility Type	Other - RESIDENTIAL TREATMENT
Lab Director	MELISSA VALLAS

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