05D2285570 CLIA NUMBER - LIGHTFULLY BEHAVIORAL HEALTH - HALO

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CLIA Record

Field Name Field Value
CLIA Number 05D2285570
LAB Type Other - BEHAVIORAL HEALTH
Facility Name LIGHTFULLY BEHAVIORAL HEALTH - HALO
Street 1247 LA PERESA DR
City THOUSAND OAKS
State CA
ZIP 91362
Phone 424 477-9547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Other - BEHAVIORAL HEALTH
Lab Director KATHRYN HIRST

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