05D2318138 CLIA NUMBER - FOUNDATIONS RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2318138
  • Facility Name: FOUNDATIONS RECOVERY CENTER
  • Facility Address: 17555 VENTURA BLVD SUITE 201
    ENCINO, CA
    ZIP 91316
  • Facility Phone: 661 917-4442
  • Facility Type: Other - MENTAL HEALTH/ SUB ABUSE
  • Facility Type: Waiver
  • Lab Director: ERIC CHAGHOURI
  • NPI Number: 1336960517
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2318138
LAB Type Other - MENTAL HEALTH/ SUB ABUSE
Facility Name FOUNDATIONS RECOVERY CENTER
Street 17555 VENTURA BLVD SUITE 201
City ENCINO
State CA
ZIP 91316
Phone 661 917-4442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Other - MENTAL HEALTH/ SUB ABUSE
Lab Director ERIC CHAGHOURI

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