05D2285399 CLIA NUMBER - PHOENIX HOUSES OF LOS ANGELES, INC

Laboratory Demographics

  • CLIA Code: 05D2285399
  • Facility Name: PHOENIX HOUSES OF LOS ANGELES, INC
  • Facility Address: 11600 ELDRIDGE AVE
    LAKE VIEW TERRACE, CA
    ZIP 91342
  • Facility Phone: 818 686-3112
  • Facility Type: Other - SUD OUTPATIENT TREATMENT
  • Facility Type: Waiver
  • Lab Director: RAYEK NAFIZ
  • NPI Number: 1427811389
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2285399
LAB Type Other - SUD OUTPATIENT TREATMENT
Facility Name PHOENIX HOUSES OF LOS ANGELES, INC
Street 11600 ELDRIDGE AVE
City LAKE VIEW TERRACE
State CA
ZIP 91342
Phone 818 686-3112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Other - SUD OUTPATIENT TREATMENT
Lab Director RAYEK NAFIZ

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