05D2164139 CLIA NUMBER - ALT RECOVERY GROUP

Laboratory Demographics

  • CLIA Code: 05D2164139
  • Facility Name: ALT RECOVERY GROUP
  • Facility Address: 20946 DEVONSHIRE STREET, SUITE 100
    CHATSWORTH, CA
    ZIP 91311
  • Facility Phone: 818 626-8053
  • Facility Type: Other - OPIATE TREATMENT PROGRAM
  • Facility Type: Waiver
  • Lab Director: ALEXANDER F. SIMOPOULOS
  • NPI Number: 1780198085
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2164139
LAB Type Other - OPIATE TREATMENT PROGRAM
Facility Name ALT RECOVERY GROUP
Street 20946 DEVONSHIRE STREET, SUITE 100
City CHATSWORTH
State CA
ZIP 91311
Phone 818 626-8053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Other - OPIATE TREATMENT PROGRAM
Lab Director ALEXANDER F. SIMOPOULOS

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This page was last updated on: 6/4/2025