05D2284363 CLIA NUMBER - EXODUS RECOVERY, INC. CRISIS RESIDENTIAL TREATMENT PROGRAM

Laboratory Demographics

  • CLIA Code: 05D2284363
  • Facility Name: EXODUS RECOVERY, INC. CRISIS RESIDENTIAL TREATMENT PROGRAM
  • Facility Address: 3754 OVERLAND AVE
    LOS ANGELES, CA
    ZIP 90034
  • Facility Phone: 310 945-3350
  • Facility Type: Other - CRISIS RESIDENTIAL TREATM
  • Facility Type: Waiver
  • Lab Director: GEORGE ARTHUR BLAIR II
  • NPI Number: 1942665484
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D2284363
LAB Type Other - CRISIS RESIDENTIAL TREATM
Facility Name EXODUS RECOVERY, INC. CRISIS RESIDENTIAL TREATMENT PROGRAM
Street 3754 OVERLAND AVE
City LOS ANGELES
State CA
ZIP 90034
Phone 310 945-3350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Other - CRISIS RESIDENTIAL TREATM
Lab Director GEORGE ARTHUR BLAIR II

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