05D2304912 CLIA NUMBER - SAINT LAWRENCE RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2304912
  • Facility Name: SAINT LAWRENCE RECOVERY
  • Facility Address: 12437 HUSTON ST
    VALLEY VILLAGE, CA
    ZIP 91607
  • Facility Phone: 747 250-4884
  • Facility Type: Other - DRUG & ALCOHOL TREAT
  • Facility Type: Waiver
  • Lab Director: ERIC CHAGHOURI
  • NPI Number: 1508647918
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2304912
LAB Type Other - DRUG & ALCOHOL TREAT
Facility Name SAINT LAWRENCE RECOVERY
Street 12437 HUSTON ST
City VALLEY VILLAGE
State CA
ZIP 91607
Phone 747 250-4884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Other - DRUG & ALCOHOL TREAT
Lab Director ERIC CHAGHOURI

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