05D2289449 CLIA NUMBER - GRATA HOUSE

Laboratory Demographics

  • CLIA Code: 05D2289449
  • Facility Name: GRATA HOUSE
  • Facility Address: 1696 LA JOLLA DR
    THOUSAND OAKS, CA
    ZIP 91362
  • Facility Phone: 310 292-8337
  • Facility Type: Other - DTX/RES SUD TREATMENT
  • Facility Type: Waiver
  • Lab Director: DAVID DEYHIMY
  • NPI Number: 1326760596
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2289449
LAB Type Other - DTX/RES SUD TREATMENT
Facility Name GRATA HOUSE
Street 1696 LA JOLLA DR
City THOUSAND OAKS
State CA
ZIP 91362
Phone 310 292-8337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Other - DTX/RES SUD TREATMENT
Lab Director DAVID DEYHIMY

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