05D2298611 CLIA NUMBER - CLIFFSIDE MALIBU 1

Laboratory Demographics

  • CLIA Code: 05D2298611
  • Facility Name: CLIFFSIDE MALIBU 1
  • Facility Address: 5480 HORIZON DRIVE
    MALIBU, CA
    ZIP 90265
  • Facility Phone: 855 777-4769
  • Facility Type: Other - RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: WILLIAM D. STANLEY
  • NPI Number: 1629461223
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2298611
LAB Type Other - RESIDENTIAL TREATMENT
Facility Name CLIFFSIDE MALIBU 1
Street 5480 HORIZON DRIVE
City MALIBU
State CA
ZIP 90265
Phone 855 777-4769
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Other - RESIDENTIAL TREATMENT
Lab Director WILLIAM D. STANLEY

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