05D2315983 CLIA NUMBER - ALTUS REHAB LLC

Laboratory Demographics

  • CLIA Code: 05D2315983
  • Facility Name: ALTUS REHAB LLC
  • Facility Address: 16820 ADLON RD
    ENCINO, CA
    ZIP 91436
  • Facility Phone: 323 317-1717
  • Facility Type: Other - SUBSTANCE USE TREATMENT
  • Facility Type: Waiver
  • Lab Director: JASON GILES
  • NPI Number: 1881318624
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2315983
LAB Type Other - SUBSTANCE USE TREATMENT
Facility Name ALTUS REHAB LLC
Street 16820 ADLON RD
City ENCINO
State CA
ZIP 91436
Phone 323 317-1717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Other - SUBSTANCE USE TREATMENT
Lab Director JASON GILES

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