05D2247356 CLIA NUMBER - AMERICAN RIVIERA LLC

Laboratory Demographics

  • CLIA Code: 05D2247356
  • Facility Name: AMERICAN RIVIERA LLC
  • Facility Address: 12114 VENICE BOULEVARD
    LOS ANGELES, CA
    ZIP 90066
  • Facility Phone: 310 498-0102
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: RODNEY COLLINS
  • NPI Number: 1558936419
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2247356
LAB Type Comp. Outpatient Rehab Facility
Facility Name AMERICAN RIVIERA LLC
Street 12114 VENICE BOULEVARD
City LOS ANGELES
State CA
ZIP 90066
Phone 310 498-0102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director RODNEY COLLINS

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