05D2171965 CLIA NUMBER - AVEDIS RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2171965
  • Facility Name: AVEDIS RECOVERY
  • Facility Address: 1249 LA BREA AVENUE
    LOS ANGELES, CA
    ZIP 90019
  • Facility Phone: 323 423-3422
  • Facility Type: Other - INTENSIVE OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: JONATHAN REITMAN
  • NPI Number: 1790341568
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2171965
LAB Type Other - INTENSIVE OUTPATIENT
Facility Name AVEDIS RECOVERY
Street 1249 LA BREA AVENUE
City LOS ANGELES
State CA
ZIP 90019
Phone 323 423-3422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Other - INTENSIVE OUTPATIENT
Lab Director JONATHAN REITMAN

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