05D2329074 CLIA NUMBER - KASA RECOVERY, INC

Laboratory Demographics

  • CLIA Code: 05D2329074
  • Facility Name: KASA RECOVERY, INC
  • Facility Address: 5369 W PICO BLVD
    LOS ANGELES, CA
    ZIP 90019
  • Facility Phone: 323 972-1700
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: NAYAN PATEL
  • NPI Number: 1326855255
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2329074
LAB Type Comp. Outpatient Rehab Facility
Facility Name KASA RECOVERY, INC
Street 5369 W PICO BLVD
City LOS ANGELES
State CA
ZIP 90019
Phone 323 972-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director NAYAN PATEL

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