05D2292075 CLIA NUMBER - ALTA CENTERS, INC

Laboratory Demographics

  • CLIA Code: 05D2292075
  • Facility Name: ALTA CENTERS, INC
  • Facility Address: 2172 ARGYLE AVENUE
    LOS ANGELES, CA
    ZIP 90068
  • Facility Phone: 818 616-7443
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JASON GILES
  • NPI Number: 1487020343
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2292075
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ALTA CENTERS, INC
Street 2172 ARGYLE AVENUE
City LOS ANGELES
State CA
ZIP 90068
Phone 818 616-7443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JASON GILES

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