05D2170008 CLIA NUMBER - LIGHTHOUSE RECOVERY CENTERS LLC

Laboratory Demographics

  • CLIA Code: 05D2170008
  • Facility Name: LIGHTHOUSE RECOVERY CENTERS LLC
  • Facility Address: 5242 DARRO ROAD
    WOODLAND HILLS, CA
    ZIP 91364
  • Facility Phone: 310 882-9375
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COURTNEY SCOTT
  • NPI Number: 1376905505
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2170008
LAB Type Physician Office
Facility Name LIGHTHOUSE RECOVERY CENTERS LLC
Street 5242 DARRO ROAD
City WOODLAND HILLS
State CA
ZIP 91364
Phone 310 882-9375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director COURTNEY SCOTT

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