05D2309264 CLIA NUMBER - CLEAR PATH IOP CENTER

Laboratory Demographics

  • CLIA Code: 05D2309264
  • Facility Name: CLEAR PATH IOP CENTER
  • Facility Address: 209 E ALAMEDA AVE STE 100
    BURBANK, CA
    ZIP 91502
  • Facility Phone: 818 657-9497
  • Facility Type: Other - MENTAL HLTH SUB ABUSE
  • Facility Type: Waiver
  • Lab Director: KRISTEN NELSON
  • NPI Number: 1538923016
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2309264
LAB Type Other - MENTAL HLTH SUB ABUSE
Facility Name CLEAR PATH IOP CENTER
Street 209 E ALAMEDA AVE STE 100
City BURBANK
State CA
ZIP 91502
Phone 818 657-9497
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Other - MENTAL HLTH SUB ABUSE
Lab Director KRISTEN NELSON

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