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ADVANCE LIFE RECOVERY
NPI 1245121805
Substance Abuse Rehabilitation Facility in Northridge, CA

Active since July 11, 2025CLIA 05D2330418 · Waiver
9350 TAMPA AVE, NORTHRIDGE, CA 91324(888) 929-2891(818) 483-9859 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advance Life Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCE LIFE RECOVERY (NPI 1245121805) is a healthcare organization registered as a substance abuse rehabilitation facility in Northridge, California and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through September 15, 2027 and lists Davit Ksachikyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245121805
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameADVANCE LIFE RECOVERY
Location Address9350 TAMPA AVENorthridge, CA 91324-2744
Mailing Address9350 Tampa AveNorthridge, CA 91324-2744 · (888) 929-2891 · Fax (818) 483-9859
Phone(888) 929-2891
Fax(818) 483-9859
Organization SubpartNo
Authorized OfficialDavit KsachikyanCeo · (888) 929-2891
Enumeration DateJuly 11, 2025
NPPES CertifiedJuly 11, 2025
✔ NPI 1245121805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

9350 TAMPA AVE, Northridge, CA 91324
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2330418

Advance Life Recovery · Northridge, CA
Active · expires Sep 15, 2027
CLIA Number05D2330418
Laboratory TypeSud Residential Treatment
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorDaniel Duel
Laboratory Phone(818) 987-7797
Laboratory LocationAdvance Life Recovery9350 Tampa Ave, Northridge, CA 91324
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advance Life Recovery's NPI number?

The NPI number for Advance Life Recovery is 1245121805. It was assigned to this organization in the NPPES registry on July 11, 2025.

Where is Advance Life Recovery located?

Advance Life Recovery is located at 9350 Tampa Ave, Northridge, CA 91324. The listed phone number is (888) 929-2891.

What is Advance Life Recovery's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Advance Life Recovery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2330418) is associated with this NPI, valid through September 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advance Life Recovery was last updated on July 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.