05D2244708 CLIA NUMBER - LION RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2244708
  • Facility Name: LION RECOVERY
  • Facility Address: 14945 BASSET STREET
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 323 818-6660
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DAGMAR LEIPA
  • NPI Number: 1326637265
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2244708
LAB Type Ancillary Testing Site in Health Care Center
Facility Name LION RECOVERY
Street 14945 BASSET STREET
City VAN NUYS
State CA
ZIP 91405
Phone 323 818-6660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DAGMAR LEIPA

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