05D2312147 CLIA NUMBER - ASG HOLDINGS INC

Laboratory Demographics

  • CLIA Code: 05D2312147
  • Facility Name: ASG HOLDINGS INC
  • Facility Address: 14205 COHASSET STREET
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 747 222-8555
  • Facility Type: Other - RSDNTL ALCHL/DRG FCLTY
  • Facility Type: Waiver
  • Lab Director: DAGMAR I. LIEPA
  • NPI Number: 1699518340
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2312147
LAB Type Other - RSDNTL ALCHL/DRG FCLTY
Facility Name ASG HOLDINGS INC
Street 14205 COHASSET STREET
City VAN NUYS
State CA
ZIP 91405
Phone 747 222-8555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Other - RSDNTL ALCHL/DRG FCLTY
Lab Director DAGMAR I. LIEPA

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