05D2275518 CLIA NUMBER - LUCIDITY BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 05D2275518
  • Facility Name: LUCIDITY BEHAVIORAL HEALTH
  • Facility Address: 11500 W OLYMPIC BLVD STE 399
    LOS ANGELES, CA
    ZIP 90064
  • Facility Phone: 424 316-2168
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ERIC WEXLER
  • NPI Number: 1538813001
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2275518
LAB Type Community Clinic
Facility Name LUCIDITY BEHAVIORAL HEALTH
Street 11500 W OLYMPIC BLVD STE 399
City LOS ANGELES
State CA
ZIP 90064
Phone 424 316-2168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Community Clinic
Lab Director ERIC WEXLER

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