05D2318056 CLIA NUMBER - ABC WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 05D2318056
  • Facility Name: ABC WELLNESS CENTER
  • Facility Address: 8529 AMESTOY AVE
    NORTHRIDGE, CA
    ZIP 91325
  • Facility Phone: 442 441-4441
  • Facility Type: Other - RESIDENTIAL DRUG & ALCOHO
  • Facility Type: Waiver
  • Lab Director: JONATHAN REITMAN
  • NPI Number: 1962269662
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2318056
LAB Type Other - RESIDENTIAL DRUG & ALCOHO
Facility Name ABC WELLNESS CENTER
Street 8529 AMESTOY AVE
City NORTHRIDGE
State CA
ZIP 91325
Phone 442 441-4441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Other - RESIDENTIAL DRUG & ALCOHO
Lab Director JONATHAN REITMAN

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