05D2303842 CLIA NUMBER - PATH TO RECOVERY DETOX LLC

Laboratory Demographics

  • CLIA Code: 05D2303842
  • Facility Name: PATH TO RECOVERY DETOX LLC
  • Facility Address: 3231 NEW YORK DR
    PASADENA, CA
    ZIP 91107
  • Facility Phone: 626 224-8187
  • Facility Type: Other - SUBSTANCE USE DISORDER TR
  • Facility Type: Waiver
  • Lab Director: COURTNEY SCOTT
  • NPI Number: 1437684834
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2303842
LAB Type Other - SUBSTANCE USE DISORDER TR
Facility Name PATH TO RECOVERY DETOX LLC
Street 3231 NEW YORK DR
City PASADENA
State CA
ZIP 91107
Phone 626 224-8187
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 - SUBSTANCE USE DISORDER TR
Lab Director COURTNEY SCOTT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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