Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
05D2314805
|
|
Clinical laboratory number
|
|
Lab Name
|
GODS ARMY WELLNESS HOME INC
|
|
Laboratory Name
|
|
Lab Type
|
Other - SUBS. ABUSE REHAB FCLTY
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
818-205-1111
|
|
Laboratory telephone number
|
|
Fax
|
818-558-1411
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
13149 RATNER ST
|
|
Primary location adress line
|
|
City
|
N HOLLYWOOD
|
|
Primary location city name
|
|
State
|
CA
|
|
Primary location state name
|
|
Zip
|
91605
|
|
Primary location postal code
|