05D2290154 CLIA NUMBER - FORWARD RECOVERY SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 05D2290154
  • Facility Name: FORWARD RECOVERY SOLUTIONS LLC
  • Facility Address: 1428 S ROXBURY DR
    LOS ANGELES, CA
    ZIP 90035
  • Facility Phone: 310 488-9864
  • Facility Type: Other - SUBSTANCE USE DISOLRDER T
  • Facility Type: Waiver
  • Lab Director: COURTNEY SCOTT
  • NPI Number: 1184151102
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2290154
LAB Type Other - SUBSTANCE USE DISOLRDER T
Facility Name FORWARD RECOVERY SOLUTIONS LLC
Street 1428 S ROXBURY DR
City LOS ANGELES
State CA
ZIP 90035
Phone 310 488-9864
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2023
Certificate Expiration Date 9/20/2025
Facility Type Other - SUBSTANCE USE DISOLRDER T
Lab Director COURTNEY SCOTT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025