05D0724625 CLIA NUMBER - VALLEY PALMS CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0724625
  • Facility Name: VALLEY PALMS CARE CENTER
  • Facility Address: 13400 SHERMAN WAY
    NORTH HOLLYWOOD, CA
    ZIP 91605
  • Facility Phone: 818 983-0103
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RANDA D. KLEIS
  • NPI Number: 1801881479
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0724625
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VALLEY PALMS CARE CENTER
Street 13400 SHERMAN WAY
City NORTH HOLLYWOOD
State CA
ZIP 91605
Phone 818 983-0103
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 RANDA D. KLEIS

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