05D2289511 CLIA NUMBER - LAUNCH TO WELLNESS

Laboratory Demographics

  • CLIA Code: 05D2289511
  • Facility Name: LAUNCH TO WELLNESS
  • Facility Address: 20350 VENTURA BLVD SUITE 200
    WOODLAND HILLS, CA
    ZIP 91364
  • Facility Phone: 323 578-9190
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ERIC CHAGHOURI
  • NPI Number: 1154025930
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2289511
LAB Type Comp. Outpatient Rehab Facility
Facility Name LAUNCH TO WELLNESS
Street 20350 VENTURA BLVD SUITE 200
City WOODLAND HILLS
State CA
ZIP 91364
Phone 323 578-9190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director ERIC CHAGHOURI

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