05D2277072 CLIA NUMBER - CENTRAL STAR LA USC CRISIS RESIDENTIAL TREATMENT

Laboratory Demographics

  • CLIA Code: 05D2277072
  • Facility Name: CENTRAL STAR LA USC CRISIS RESIDENTIAL TREATMENT
  • Facility Address: 1774 ZONAL AVE BUILDING C
    LOS ANGELES, CA
    ZIP 90033
  • Facility Phone: 310 221-6378
  • Facility Type: Other - CRISIS RESIDENT TREAT
  • Facility Type: Waiver
  • Lab Director: WEIMING CHU
  • NPI Number: 1306571096
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2277072
LAB Type Other - CRISIS RESIDENT TREAT
Facility Name CENTRAL STAR LA USC CRISIS RESIDENTIAL TREATMENT
Street 1774 ZONAL AVE BUILDING C
City LOS ANGELES
State CA
ZIP 90033
Phone 310 221-6378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Other - CRISIS RESIDENT TREAT
Lab Director WEIMING CHU

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