05D2181348 CLIA NUMBER - TRANSFORMATIONS CARE INC

Laboratory Demographics

  • CLIA Code: 05D2181348
  • Facility Name: TRANSFORMATIONS CARE INC
  • Facility Address: 17921 SOUTH AVERY PLACE
    GARDENA, CA
    ZIP 90248
  • Facility Phone: 818 741-0321
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. STONE
  • NPI Number: 1134774086
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2181348
LAB Type Physician Office
Facility Name TRANSFORMATIONS CARE INC
Street 17921 SOUTH AVERY PLACE
City GARDENA
State CA
ZIP 90248
Phone 818 741-0321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director MICHAEL D. STONE

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