05D2296501 CLIA NUMBER - AURORA RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2296501
  • Facility Name: AURORA RECOVERY
  • Facility Address: 5035 AMESTOY AVE
    ENCINO, CA
    ZIP 91316
  • Facility Phone: 805 297-0484
  • Facility Type: Other - RESIDENTIAL/DETOX
  • Facility Type: Waiver
  • Lab Director: JULIO MEZA
  • NPI Number: 1275217291
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2296501
LAB Type Other - RESIDENTIAL/DETOX
Facility Name AURORA RECOVERY
Street 5035 AMESTOY AVE
City ENCINO
State CA
ZIP 91316
Phone 805 297-0484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Other - RESIDENTIAL/DETOX
Lab Director JULIO MEZA

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This page was last updated on: 6/4/2025