05D2295740 CLIA NUMBER - CALI RECOVERY INC

Laboratory Demographics

  • CLIA Code: 05D2295740
  • Facility Name: CALI RECOVERY INC
  • Facility Address: 4712 WOODMAN AVE
    SHERMAN OAKS, CA
    ZIP 91423
  • Facility Phone: 818 220-3089
  • Facility Type: Other - OUTPAITIENT CLINIC
  • Facility Type: Waiver
  • Lab Director: DAVE S. KHATRI
  • NPI Number: 1205553278
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2295740
LAB Type Other - OUTPAITIENT CLINIC
Facility Name CALI RECOVERY INC
Street 4712 WOODMAN AVE
City SHERMAN OAKS
State CA
ZIP 91423
Phone 818 220-3089
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Other - OUTPAITIENT CLINIC
Lab Director DAVE S. KHATRI

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