05D2310039 CLIA NUMBER - PARK ELITE DETOX LLC

Laboratory Demographics

  • CLIA Code: 05D2310039
  • Facility Name: PARK ELITE DETOX LLC
  • Facility Address: 23670 PARK ANDORRA
    CALABASAS, CA
    ZIP 91302
  • Facility Phone: 818 805-3333
  • Facility Type: Other - RESIDENTIAL ALCOHOL/DRUG
  • Facility Type: Waiver
  • Lab Director: DARREN LIPSHITZ
  • NPI Number: 1063279438
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2310039
LAB Type Other - RESIDENTIAL ALCOHOL/DRUG
Facility Name PARK ELITE DETOX LLC
Street 23670 PARK ANDORRA
City CALABASAS
State CA
ZIP 91302
Phone 818 805-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Other - RESIDENTIAL ALCOHOL/DRUG
Lab Director DARREN LIPSHITZ

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