05D0698271 CLIA NUMBER - IMPERIAL CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0698271
  • Facility Name: IMPERIAL CARE CENTER
  • Facility Address: 11441 VENTURA BLVD
    STUDIO CITY, CA
    ZIP 91604
  • Facility Phone: 818 980-8200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SAM NUTHALAPATY
  • NPI Number: 1265502405
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0698271
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name IMPERIAL CARE CENTER
Street 11441 VENTURA BLVD
City STUDIO CITY
State CA
ZIP 91604
Phone 818 980-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SAM NUTHALAPATY

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