05D2168597 CLIA NUMBER - WEST HOLLYWOOD ATC LLC

Laboratory Demographics

  • CLIA Code: 05D2168597
  • Facility Name: WEST HOLLYWOOD ATC LLC
  • Facility Address: 9024 HARRAT STREET
    WEST HOLLYWOOD, CA
    ZIP 90069
  • Facility Phone: 424 204-9064
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: COURTNEY SCOTT
  • NPI Number: 1417415639
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2168597
LAB Type Ancillary Testing Site in Health Care Center
Facility Name WEST HOLLYWOOD ATC LLC
Street 9024 HARRAT STREET
City WEST HOLLYWOOD
State CA
ZIP 90069
Phone 424 204-9064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director COURTNEY SCOTT

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