05D2305044 CLIA NUMBER - MINDSET RECOVERY INC

Laboratory Demographics

  • CLIA Code: 05D2305044
  • Facility Name: MINDSET RECOVERY INC
  • Facility Address: 6850 VAN NUYS BLVD, STE 110
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 805 666-9832
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: NEIL SHAH
  • NPI Number: 1639958614
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2305044
LAB Type Comp. Outpatient Rehab Facility
Facility Name MINDSET RECOVERY INC
Street 6850 VAN NUYS BLVD, STE 110
City VAN NUYS
State CA
ZIP 91405
Phone 805 666-9832
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director NEIL SHAH

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