05D2284685 CLIA NUMBER - DYNAMIC BEHAVIORAL HEALTH

Laboratory Demographics

CLIA Code: 05D2284685
Facility Name: DYNAMIC BEHAVIORAL HEALTH
Facility Address: 5705 SHIRLEY AVE
TARZANA, CA
ZIP 91356
Facility Phone: 310 437-3114
Facility Type: Other - MENTAL HEALTH RESIDENTIAL
Facility Type: Waiver
Lab Director: BRADLEY ZEHRING
NPI Number: 1881317485
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

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CLIA Record

Field Name	Field Value
CLIA Number	05D2284685
LAB Type	Other - MENTAL HEALTH RESIDENTIAL
Facility Name	DYNAMIC BEHAVIORAL HEALTH
Street	5705 SHIRLEY AVE
City	TARZANA
State	CA
ZIP	91356
Phone	310 437-3114
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	6/27/2025
Certificate Expiration Date	6/26/2027
Facility Type	Other - MENTAL HEALTH RESIDENTIAL
Lab Director	BRADLEY ZEHRING

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