05D2190950 CLIA NUMBER - CONQUER RECOVERY CENTERS

Laboratory Demographics

  • CLIA Code: 05D2190950
  • Facility Name: CONQUER RECOVERY CENTERS
  • Facility Address: 1324 KENISTON AVENUE
    LOS ANGELES, CA
    ZIP 90019
  • Facility Phone: 818 262-0110
  • Facility Type: Other - RECOVERY CENTER
  • Facility Type: Waiver
  • Lab Director: LIEPA DAGMAR MD
  • NPI Number: 1619598208
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2190950
LAB Type Other - RECOVERY CENTER
Facility Name CONQUER RECOVERY CENTERS
Street 1324 KENISTON AVENUE
City LOS ANGELES
State CA
ZIP 90019
Phone 818 262-0110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Other - RECOVERY CENTER
Lab Director LIEPA DAGMAR MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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