05D2227989 CLIA NUMBER - GRANDVIEW FOUNDATION INC

Laboratory Demographics

  • CLIA Code: 05D2227989
  • Facility Name: GRANDVIEW FOUNDATION INC
  • Facility Address: 253 EAST CLAREMONT STREET
    PASADENA, CA
    ZIP 91103
  • Facility Phone: 626 797-1124
  • Facility Type: Other - SOBER LIVING -SUD TRMT
  • Facility Type: Waiver
  • Lab Director: EUGENE V. CAINE
  • NPI Number: 1669923611
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2227989
LAB Type Other - SOBER LIVING -SUD TRMT
Facility Name GRANDVIEW FOUNDATION INC
Street 253 EAST CLAREMONT STREET
City PASADENA
State CA
ZIP 91103
Phone 626 797-1124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Other - SOBER LIVING -SUD TRMT
Lab Director EUGENE V. CAINE

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