05D2227945 CLIA NUMBER - TLC

Laboratory Demographics

  • CLIA Code: 05D2227945
  • Facility Name: TLC
  • Facility Address: 1871 9TH STREET
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 314-6200
  • Facility Type: Other - SUBSTANCE USE TREATMENT
  • Facility Type: Waiver
  • Lab Director: JONATHAN QUACH
  • NPI Number: 1962839746
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2227945
LAB Type Other - SUBSTANCE USE TREATMENT
Facility Name TLC
Street 1871 9TH STREET
City SANTA MONICA
State CA
ZIP 90404
Phone 310 314-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Other - SUBSTANCE USE TREATMENT
Lab Director JONATHAN QUACH

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