05D2280089 CLIA NUMBER - PARADIGM MALIBU PCH

Laboratory Demographics

  • CLIA Code: 05D2280089
  • Facility Name: PARADIGM MALIBU PCH
  • Facility Address: 27407 PACIFIC COAST HWY
    MALIBU, CA
    ZIP 90265
  • Facility Phone: 310 457-6300
  • Facility Type: Other - RESIDENTIAL TREATMENT FAC
  • Facility Type: Waiver
  • Lab Director: GINA K. IN
  • NPI Number: 1912506064
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2280089
LAB Type Other - RESIDENTIAL TREATMENT FAC
Facility Name PARADIGM MALIBU PCH
Street 27407 PACIFIC COAST HWY
City MALIBU
State CA
ZIP 90265
Phone 310 457-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Other - RESIDENTIAL TREATMENT FAC
Lab Director GINA K. IN

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