05D2292866 CLIA NUMBER - 360 INTEGRATED RECOVERY INC

Laboratory Demographics

  • CLIA Code: 05D2292866
  • Facility Name: 360 INTEGRATED RECOVERY INC
  • Facility Address: 3654 WRIGHTWOOD DR
    STUDIO CITY, CA
    ZIP 91604
  • Facility Phone: 949 701-9271
  • Facility Type: Other - RESIDENTIAL DRUG AND ALCO
  • Facility Type: Waiver
  • Lab Director: ERIC CHAGHOURI
  • NPI Number: 1750078317
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2292866
LAB Type Other - RESIDENTIAL DRUG AND ALCO
Facility Name 360 INTEGRATED RECOVERY INC
Street 3654 WRIGHTWOOD DR
City STUDIO CITY
State CA
ZIP 91604
Phone 949 701-9271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Other - RESIDENTIAL DRUG AND ALCO
Lab Director ERIC CHAGHOURI

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: 9/29/2025