05D2309697 CLIA NUMBER - EVERGREEN RECOVERY DBA CATALAYA RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2309697
  • Facility Name: EVERGREEN RECOVERY DBA CATALAYA RECOVERY
  • Facility Address: 10364 KURT STREET
    SYLMAR, CA
    ZIP 91342
  • Facility Phone: 818 686-2136
  • Facility Type: Other - SUBSTANCE USE DISORDER
  • Facility Type: Waiver
  • Lab Director: MARTIN SAHAKYAN
  • NPI Number: 1952093411
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2309697
LAB Type Other - SUBSTANCE USE DISORDER
Facility Name EVERGREEN RECOVERY DBA CATALAYA RECOVERY
Street 10364 KURT STREET
City SYLMAR
State CA
ZIP 91342
Phone 818 686-2136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Other - SUBSTANCE USE DISORDER
Lab Director MARTIN SAHAKYAN

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