05D2162744 CLIA NUMBER - PARADIGM MALIBU CAVALLERI

Laboratory Demographics

  • CLIA Code: 05D2162744
  • Facility Name: PARADIGM MALIBU CAVALLERI
  • Facility Address: 6316 CAVALLERI RD
    MALIBU, CA
    ZIP 90265
  • Facility Phone: 310 457-7128
  • Facility Type: Other - RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: GINA K. IN
  • NPI Number: 1992345284
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2162744
LAB Type Other - RESIDENTIAL TREATMENT
Facility Name PARADIGM MALIBU CAVALLERI
Street 6316 CAVALLERI RD
City MALIBU
State CA
ZIP 90265
Phone 310 457-7128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Other - RESIDENTIAL TREATMENT
Lab Director GINA K. IN

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