05D2241463 CLIA NUMBER - LA VALLEY RECOVERY, INC

Laboratory Demographics

  • CLIA Code: 05D2241463
  • Facility Name: LA VALLEY RECOVERY, INC
  • Facility Address: 7744 MARY ELLEN AVE
    NORTH HOLLYWOOD, CA
    ZIP 91605
  • Facility Phone: 844 777-5287
  • Facility Type: Other - SUD REHAB CENTER
  • Facility Type: Waiver
  • Lab Director: DR. JAYSON HYMES
  • NPI Number: 1174192264
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2241463
LAB Type Other - SUD REHAB CENTER
Facility Name LA VALLEY RECOVERY, INC
Street 7744 MARY ELLEN AVE
City NORTH HOLLYWOOD
State CA
ZIP 91605
Phone 844 777-5287
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Other - SUD REHAB CENTER
Lab Director DR. JAYSON HYMES

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