05D2304716 CLIA NUMBER - 33RD STREET DETOX LLC

Laboratory Demographics

  • CLIA Code: 05D2304716
  • Facility Name: 33RD STREET DETOX LLC
  • Facility Address: 1018 EAST 33RD STREET
    LOS ANGELES, CA
    ZIP 90011
  • Facility Phone: 310 774-1698
  • Facility Type: Other - MEDICAL DETOX FACILITY
  • Facility Type: Waiver
  • Lab Director: JONG H. KIM
  • NPI Number: 1245922533
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2304716
LAB Type Other - MEDICAL DETOX FACILITY
Facility Name 33RD STREET DETOX LLC
Street 1018 EAST 33RD STREET
City LOS ANGELES
State CA
ZIP 90011
Phone 310 774-1698
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Other - MEDICAL DETOX FACILITY
Lab Director JONG H. KIM

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