05D2269229 CLIA NUMBER - STARBRIDGE RECOVERY, LLC

Laboratory Demographics

  • CLIA Code: 05D2269229
  • Facility Name: STARBRIDGE RECOVERY, LLC
  • Facility Address: 3943 FREDONIA DR
    LOS ANGELES, CA
    ZIP 90068
  • Facility Phone: 323 380-6683
  • Facility Type: Other - SUBSTANCE ABUSE RES DETOX
  • Facility Type: Waiver
  • Lab Director: CARTNEY SCOTT
  • NPI Number: 1144860073
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2269229
LAB Type Other - SUBSTANCE ABUSE RES DETOX
Facility Name STARBRIDGE RECOVERY, LLC
Street 3943 FREDONIA DR
City LOS ANGELES
State CA
ZIP 90068
Phone 323 380-6683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Other - SUBSTANCE ABUSE RES DETOX
Lab Director CARTNEY SCOTT

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