05D2303826 CLIA NUMBER - LAKERIDGE RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2303826
  • Facility Name: LAKERIDGE RECOVERY CENTER
  • Facility Address: 6664 LAKERIDGE RD
    LOS ANGELES, CA
    ZIP 90068
  • Facility Phone: 310 674-4444
  • Facility Type: Other - RESIDENT DRUG & ALCO
  • Facility Type: Waiver
  • Lab Director: JONATHAN REITMAN
  • NPI Number: 1326732199
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2303826
LAB Type Other - RESIDENT DRUG & ALCO
Facility Name LAKERIDGE RECOVERY CENTER
Street 6664 LAKERIDGE RD
City LOS ANGELES
State CA
ZIP 90068
Phone 310 674-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Other - RESIDENT DRUG & ALCO
Lab Director JONATHAN REITMAN

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