05D2316858 CLIA NUMBER - AMBIENCE RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 05D2316858
  • Facility Name: AMBIENCE RECOVERY LLC
  • Facility Address: 6651 ETHEL AVE
    NORTH HOLLYWOOD, CA
    ZIP 91606
  • Facility Phone: 323 327-8800
  • Facility Type: Other - SUD OP TC
  • Facility Type: Waiver
  • Lab Director: WILLIAM STANLEY
  • NPI Number: 1467208702
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2316858
LAB Type Other - SUD OP TC
Facility Name AMBIENCE RECOVERY LLC
Street 6651 ETHEL AVE
City NORTH HOLLYWOOD
State CA
ZIP 91606
Phone 323 327-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Other - SUD OP TC
Lab Director WILLIAM STANLEY

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