05D2250239 CLIA NUMBER - MALIBU DETOX

Laboratory Demographics

  • CLIA Code: 05D2250239
  • Facility Name: MALIBU DETOX
  • Facility Address: 7212 BIRDVIEW AVENUE
    MALIBU, CA
    ZIP 90265
  • Facility Phone: 916 704-4279
  • Facility Type: Other - RESIDENTIAL ALCOHOL/DRUG
  • Facility Type: Waiver
  • Lab Director: LISA BENYA
  • NPI Number: 1164184107
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2250239
LAB Type Other - RESIDENTIAL ALCOHOL/DRUG
Facility Name MALIBU DETOX
Street 7212 BIRDVIEW AVENUE
City MALIBU
State CA
ZIP 90265
Phone 916 704-4279
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Other - RESIDENTIAL ALCOHOL/DRUG
Lab Director LISA BENYA

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