05D2277272 CLIA NUMBER - INVICTA RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2277272
  • Facility Name: INVICTA RECOVERY CENTER
  • Facility Address: 2235 N LAKE AVE #110
    ALTADENA, CA
    ZIP 91001
  • Facility Phone: 626 786-4864
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DAGMAR LIEPA
  • NPI Number: 1194358978
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2277272
LAB Type Independent
Facility Name INVICTA RECOVERY CENTER
Street 2235 N LAKE AVE #110
City ALTADENA
State CA
ZIP 91001
Phone 626 786-4864
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Independent
Lab Director DAGMAR LIEPA

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