05D2303891 CLIA NUMBER - RODEO RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 05D2303891
  • Facility Name: RODEO RECOVERY LLC
  • Facility Address: 240 S RODEO DRIVE
    BEVERLY HILLS, CA
    ZIP 90212
  • Facility Phone: 424 284-3457
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EUGENE SANTILLANO
  • NPI Number: 1396410742
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2303891
LAB Type Physician Office
Facility Name RODEO RECOVERY LLC
Street 240 S RODEO DRIVE
City BEVERLY HILLS
State CA
ZIP 90212
Phone 424 284-3457
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Physician Office
Lab Director EUGENE SANTILLANO

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