05D0724598 CLIA NUMBER - TARZANA HEALTH & REHABILITATION CTR

Laboratory Demographics

  • CLIA Code: 05D0724598
  • Facility Name: TARZANA HEALTH & REHABILITATION CTR
  • Facility Address: 5650 RESEDA BOULEVARD
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 818 881-4261
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PETER A. STONG
  • NPI Number: 1821118878
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0724598
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TARZANA HEALTH & REHABILITATION CTR
Street 5650 RESEDA BOULEVARD
City TARZANA
State CA
ZIP 91356
Phone 818 881-4261
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 PETER A. STONG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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