05D2179961 CLIA NUMBER - ROGERS BEHAVIORAL HEALTH - LOS ANGELES ROGERS BEHAVIORAL HEALTH - SAN FRANCISCO EAST BAY

Laboratory Demographics

  • CLIA Code: 05D2179961
  • Facility Name: ROGERS BEHAVIORAL HEALTH - LOS ANGELES ROGERS BEHAVIORAL HEALTH - SAN FRANCISCO EAST BAY
  • Facility Address: 5140 WEST GOLDLEAF CIRCLE SUITE 250
    LOS ANGELES, CA
    ZIP 90056
  • Facility Phone: 323 431-3300
  • Facility Type: Other - PARTIAL BEHAVIOR
  • Facility Type: Waiver
  • Lab Director: STEPHANIE C. EKEN
  • NPI Number: 1538700471
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2179961
LAB Type Other - PARTIAL BEHAVIOR
Facility Name ROGERS BEHAVIORAL HEALTH - LOS ANGELES ROGERS BEHAVIORAL HEALTH - SAN FRANCISCO EAST BAY
Street 5140 WEST GOLDLEAF CIRCLE SUITE 250
City LOS ANGELES
State CA
ZIP 90056
Phone 323 431-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Other - PARTIAL BEHAVIOR
Lab Director STEPHANIE C. EKEN

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