05D2283275 CLIA NUMBER - COMPATIOR, INC

Laboratory Demographics

  • CLIA Code: 05D2283275
  • Facility Name: COMPATIOR, INC
  • Facility Address: 4363 TWEEDY BLVD
    SOUTH GATE, CA
    ZIP 90280
  • Facility Phone: 323 378-2009
  • Facility Type: Other - OUTPATIENT SUD TREATMENT
  • Facility Type: Waiver
  • Lab Director: SHAHROUZ GHODSIAN
  • NPI Number: 1609235902
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2283275
LAB Type Other - OUTPATIENT SUD TREATMENT
Facility Name COMPATIOR, INC
Street 4363 TWEEDY BLVD
City SOUTH GATE
State CA
ZIP 90280
Phone 323 378-2009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Other - OUTPATIENT SUD TREATMENT
Lab Director SHAHROUZ GHODSIAN

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