05D2222493 CLIA NUMBER - RECOVERY ZONE, INC

Laboratory Demographics

  • CLIA Code: 05D2222493
  • Facility Name: RECOVERY ZONE, INC
  • Facility Address: 1480 COLORADO BLVD STE 175
    LOS ANGELES, CA
    ZIP 90041
  • Facility Phone: 323 999-7291
  • Facility Type: Other - OUTPATIENT DETOX
  • Facility Type: Waiver
  • Lab Director: ERIC CHAGHOURI
  • NPI Number: 1760072094
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2222493
LAB Type Other - OUTPATIENT DETOX
Facility Name RECOVERY ZONE, INC
Street 1480 COLORADO BLVD STE 175
City LOS ANGELES
State CA
ZIP 90041
Phone 323 999-7291
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Other - OUTPATIENT DETOX
Lab Director ERIC CHAGHOURI

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