SAINT LAWRENCE RECOVERY
NPI 1508647918
Substance Abuse Rehabilitation Facility in Valley Village, CA

Active since October 11, 2023CLIA 05D2304912 · Waiver
12437 HUSTON ST, VALLEY VILLAGE, CA 91607(747) 250-4884 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Saint Lawrence Recovery NPPES

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

SAINT LAWRENCE RECOVERY (NPI 1508647918) is a healthcare organization registered as a substance abuse rehabilitation facility in Valley Village, California and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Lawrence Ksido, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508647918
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSAINT LAWRENCE RECOVERY
Location Address12437 HUSTON STValley Village, CA 91607-3517
Mailing Address14617 Arminta StPanorama City, CA 91402-5901 · (747) 250-4884
Organization SubpartNo
Authorized OfficialLawrence KsidoCeo · (747) 250-4884
Enumeration DateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
NPI 1508647918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

12437 HUSTON ST, Valley Village, CA 91607

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 05D2304912

Saint Lawrence Recovery · Valley Village, CA
Active · expires May 20, 2028
CLIA Number05D2304912
Laboratory TypeDrug & Alcohol Treat
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorEric Chaghouri
Laboratory Phone(747) 250-4884
Laboratory LocationSaint Lawrence Recovery12437 Huston St, Valley Village, CA 91607
CLIA data matches this NPI record on: Address Name Phone
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 Saint Lawrence Recovery's NPI number?

The NPI number for Saint Lawrence Recovery is 1508647918. It was assigned to this organization in the NPPES registry on October 11, 2023.

Where is Saint Lawrence Recovery located?

Saint Lawrence Recovery is located at 12437 Huston St, Valley Village, CA 91607. The listed phone number is (747) 250-4884.

What is Saint Lawrence Recovery's specialty?

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

Does Saint Lawrence Recovery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2304912) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Saint Lawrence Recovery was last updated on October 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.