05D2246814 CLIA NUMBER - EMPOWER RECOVERY CENTER LLC

Laboratory Demographics

CLIA Number: 05D2246814

Facility Name: EMPOWER RECOVERY CENTER LLC

Facility Address:
10556 RIVERSIDE DRIVE
TOLUCA LAKE, CA
ZIP 91602
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Facility Phone Number: (818) 912-6161

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1972129351

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	05D2246814
LAB Type	OTHER
Facility Name	EMPOWER RECOVERY CENTER LLC
Street	10556 RIVERSIDE DRIVE
City	TOLUCA LAKE
State	CA
ZIP	91602
Phone	(818) 912-6161

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This page was last updated on: 5/11/2023