05D2267108 CLIA NUMBER - EXODUS RECOVERY, INC

Laboratory Demographics

  • CLIA Code: 05D2267108
  • Facility Name: EXODUS RECOVERY, INC
  • Facility Address: 2919 NORTH BROADWAY
    LOS ANGELES, CA
    ZIP 90031
  • Facility Phone: 310 945-3350
  • Facility Type: Other - TRANSITIONAL HOUSING
  • Facility Type: Waiver
  • Lab Director: GEORGE ARTHUR BLAIR II
  • NPI Number: 1720754112
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2267108
LAB Type Other - TRANSITIONAL HOUSING
Facility Name EXODUS RECOVERY, INC
Street 2919 NORTH BROADWAY
City LOS ANGELES
State CA
ZIP 90031
Phone 310 945-3350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Other - TRANSITIONAL HOUSING
Lab Director GEORGE ARTHUR BLAIR II

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