05D2313740 CLIA NUMBER - PASSAGE TO RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2313740
  • Facility Name: PASSAGE TO RECOVERY
  • Facility Address: 10014 LOUISE AVE
    NORTHRIDGE, CA
    ZIP 91325
  • Facility Phone: 818 434-6427
  • Facility Type: Other - INPATIENT SUD REHAB
  • Facility Type: Waiver
  • Lab Director: NEDA JAVAHERIAN
  • NPI Number: 1508681545
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2313740
LAB Type Other - INPATIENT SUD REHAB
Facility Name PASSAGE TO RECOVERY
Street 10014 LOUISE AVE
City NORTHRIDGE
State CA
ZIP 91325
Phone 818 434-6427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Other - INPATIENT SUD REHAB
Lab Director NEDA JAVAHERIAN

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