05D2319258 CLIA NUMBER - UPLIFT RECOVERY NOHO LLC

Laboratory Demographics

  • CLIA Code: 05D2319258
  • Facility Name: UPLIFT RECOVERY NOHO LLC
  • Facility Address: 7710 AMPERE AVE
    N HOLLYWOOD, CA
    ZIP 91605
  • Facility Phone: 310 674-4444
  • Facility Type: Other - RESIDENTIAL DRUG AND ALCH
  • Facility Type: Waiver
  • Lab Director: ERIC CHAGHOURI
  • NPI Number: 1063272896
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2319258
LAB Type Other - RESIDENTIAL DRUG AND ALCH
Facility Name UPLIFT RECOVERY NOHO LLC
Street 7710 AMPERE AVE
City N HOLLYWOOD
State CA
ZIP 91605
Phone 310 674-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Other - RESIDENTIAL DRUG AND ALCH
Lab Director ERIC CHAGHOURI

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