05D2311392 CLIA NUMBER - SCA RECOVERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 05D2311392
  • Facility Name: SCA RECOVERY CENTER LLC
  • Facility Address: 11529 SPROULE AVENUE
    PACOIMA, CA
    ZIP 91331
  • Facility Phone: 855 554-1636
  • Facility Type: Other - DRUG & ALCHL TRTMNT CNTR
  • Facility Type: Waiver
  • Lab Director: COURTNEY SCOTT
  • NPI Number: 1497495816
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2311392
LAB Type Other - DRUG & ALCHL TRTMNT CNTR
Facility Name SCA RECOVERY CENTER LLC
Street 11529 SPROULE AVENUE
City PACOIMA
State CA
ZIP 91331
Phone 855 554-1636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Other - DRUG & ALCHL TRTMNT CNTR
Lab Director COURTNEY SCOTT

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