05D2310482 CLIA NUMBER - CLEAR RECOVERY CENTER - 6627 VALJEAN AVE

Laboratory Demographics

  • CLIA Code: 05D2310482
  • Facility Name: CLEAR RECOVERY CENTER - 6627 VALJEAN AVE
  • Facility Address: 6627 VALJEAN AVE
    VAN NUYS, CA
    ZIP 91406
  • Facility Phone: 424 477-9547
  • Facility Type: Other - BEHAVIORAL HEALTH OUTPATI
  • Facility Type: Waiver
  • Lab Director: HAIYAN WANG
  • NPI Number: 1972359958
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2310482
LAB Type Other - BEHAVIORAL HEALTH OUTPATI
Facility Name CLEAR RECOVERY CENTER - 6627 VALJEAN AVE
Street 6627 VALJEAN AVE
City VAN NUYS
State CA
ZIP 91406
Phone 424 477-9547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Other - BEHAVIORAL HEALTH OUTPATI
Lab Director HAIYAN WANG

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