05D2165866 CLIA NUMBER - GPSTREATMENTCOM, LLC

Laboratory Demographics

  • CLIA Code: 05D2165866
  • Facility Name: GPSTREATMENTCOM, LLC
  • Facility Address: 10200 SEPULVEDA BLVD, STE 370
    MISSION HILLS, CA
    ZIP 91345
  • Facility Phone: 818 221-3076
  • Facility Type: Other - SUD OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: CLINT SALO
  • NPI Number: 1013561919
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2165866
LAB Type Other - SUD OUTPATIENT
Facility Name GPSTREATMENTCOM, LLC
Street 10200 SEPULVEDA BLVD, STE 370
City MISSION HILLS
State CA
ZIP 91345
Phone 818 221-3076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Other - SUD OUTPATIENT
Lab Director CLINT SALO

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