05D2318810 CLIA NUMBER - LIVE OAK SPRINGS CANYON RD

Laboratory Demographics

  • CLIA Code: 05D2318810
  • Facility Name: LIVE OAK SPRINGS CANYON RD
  • Facility Address: 15668 LIVE OAK SPRINGS CANYON RD
    SANTA CLARITA, CA
    ZIP 91387
  • Facility Phone: 818 800-3233
  • Facility Type: Other - RESIDENTIAL DRUG AND ALCO
  • Facility Type: Waiver
  • Lab Director: ERIC CHAGHOURI
  • NPI Number: 1699531327
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2318810
LAB Type Other - RESIDENTIAL DRUG AND ALCO
Facility Name LIVE OAK SPRINGS CANYON RD
Street 15668 LIVE OAK SPRINGS CANYON RD
City SANTA CLARITA
State CA
ZIP 91387
Phone 818 800-3233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Other - RESIDENTIAL DRUG AND ALCO
Lab Director ERIC CHAGHOURI

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