05D2303466 CLIA NUMBER - 1 LIFE RECOVERY CENTERS

Laboratory Demographics

  • CLIA Code: 05D2303466
  • Facility Name: 1 LIFE RECOVERY CENTERS
  • Facility Address: 9400 ENCINO AVE
    NORTHRIDGE, CA
    ZIP 91325
  • Facility Phone: 818 568-6446
  • Facility Type: Other - SUD RESIDENT TREAT
  • Facility Type: Waiver
  • Lab Director: MOSES NASSER
  • NPI Number: 1811618184
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2303466
LAB Type Other - SUD RESIDENT TREAT
Facility Name 1 LIFE RECOVERY CENTERS
Street 9400 ENCINO AVE
City NORTHRIDGE
State CA
ZIP 91325
Phone 818 568-6446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Other - SUD RESIDENT TREAT
Lab Director MOSES NASSER

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