05D2163667 CLIA NUMBER - CROSSPOINTE RECOVERY

Laboratory Demographics

CLIA Number: 05D2163667

Facility Name: CROSSPOINTE RECOVERY

Facility Address:
14888 VALLEY VISTA BLVD
SHERMAN OAKS, CA
ZIP 91403
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Facility Phone Number: 818 414-9438

Facility Type: Other - BEHAVIORAL HEALTH FAC

Certificate Type: Waiver

NPI Number: 1710475231

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	05D2163667
LAB Type	Other - BEHAVIORAL HEALTH FAC
Facility Name	CROSSPOINTE RECOVERY
Street	14888 VALLEY VISTA BLVD
City	SHERMAN OAKS
State	CA
ZIP	91403
Phone	818 414-9438
CertificateType	4
CertificateEffectiveDate	3/19/2023
CertificateExpirationDate	3/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024