05D2295112 CLIA NUMBER - INNOVATE RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 05D2295112
  • Facility Name: INNOVATE RECOVERY LLC
  • Facility Address: 19500 WINIFRED STREET
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 800 955-1517
  • Facility Type: Other - SUBSTANCE USE DISORDER TR
  • Facility Type: Waiver
  • Lab Director: ROBIN ZAKARIAEI
  • NPI Number: 1619667953
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2295112
LAB Type Other - SUBSTANCE USE DISORDER TR
Facility Name INNOVATE RECOVERY LLC
Street 19500 WINIFRED STREET
City TARZANA
State CA
ZIP 91356
Phone 800 955-1517
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Other - SUBSTANCE USE DISORDER TR
Lab Director ROBIN ZAKARIAEI

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