05D2311678 CLIA NUMBER - OVERLAND RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2311678
  • Facility Name: OVERLAND RECOVERY
  • Facility Address: 3415 OVERLAND AVE
    LOS ANGELES, CA
    ZIP 90034
  • Facility Phone: 562 760-4418
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: KALPESH BHAVSAR
  • NPI Number: 1629789383
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2311678
LAB Type Comp. Outpatient Rehab Facility
Facility Name OVERLAND RECOVERY
Street 3415 OVERLAND AVE
City LOS ANGELES
State CA
ZIP 90034
Phone 562 760-4418
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director KALPESH BHAVSAR

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