05D2294572 CLIA NUMBER - SIMONDS DETOX

Laboratory Demographics

  • CLIA Code: 05D2294572
  • Facility Name: SIMONDS DETOX
  • Facility Address: 17810 SIMONDS ST
    GRANADA HILLS, CA
    ZIP 91344
  • Facility Phone: 310 995-8069
  • Facility Type: Other - SUBSTANCE USE TREAT
  • Facility Type: Waiver
  • Lab Director: CHRISTIAN SMALL
  • NPI Number: 1437846656
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2294572
LAB Type Other - SUBSTANCE USE TREAT
Facility Name SIMONDS DETOX
Street 17810 SIMONDS ST
City GRANADA HILLS
State CA
ZIP 91344
Phone 310 995-8069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2023
Certificate Expiration Date 11/27/2025
Facility Type Other - SUBSTANCE USE TREAT
Lab Director CHRISTIAN SMALL

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