05D2191840 CLIA NUMBER - SAFESITE LLC

Laboratory Demographics

  • CLIA Code: 05D2191840
  • Facility Name: SAFESITE LLC
  • Facility Address: 26660 AGOURA RD
    CALABASAS, CA
    ZIP 91302
  • Facility Phone: 424 422-4764
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KENNETH STARR
  • NPI Number: 1588261127
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2191840
LAB Type Mobile Laboratory
Facility Name SAFESITE LLC
Street 26660 AGOURA RD
City CALABASAS
State CA
ZIP 91302
Phone 424 422-4764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Mobile Laboratory
Lab Director KENNETH STARR

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