05D2280714 CLIA NUMBER - TWIN TOWN TREATMENT CENTER, SHERMAN OAKS

Laboratory Demographics

  • CLIA Code: 05D2280714
  • Facility Name: TWIN TOWN TREATMENT CENTER, SHERMAN OAKS
  • Facility Address: 4940 VAN NUYS BLVD, STE 201
    SHERMAN OAKS, CA
    ZIP 91403
  • Facility Phone: 310 629-9669
  • Facility Type: Other - OUTPATIENT SUD TREAT
  • Facility Type: Waiver
  • Lab Director: LIEPA DAGMAR
  • NPI Number: 1871929612
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2280714
LAB Type Other - OUTPATIENT SUD TREAT
Facility Name TWIN TOWN TREATMENT CENTER, SHERMAN OAKS
Street 4940 VAN NUYS BLVD, STE 201
City SHERMAN OAKS
State CA
ZIP 91403
Phone 310 629-9669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Other - OUTPATIENT SUD TREAT
Lab Director LIEPA DAGMAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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