05D0872645 CLIA NUMBER - GENESIS HEALTHCARE PARTNERS, PC

Laboratory Demographics

  • CLIA Code: 05D0872645
  • Facility Name: GENESIS HEALTHCARE PARTNERS, PC
  • Facility Address: 16311 VENTURA BLVD STE 775
    ENCINO, CA
    ZIP 91436
  • Facility Phone: 818 989-1917
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KENNETH L. BUCH
  • NPI Number: 1417302605
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 05D0872645
LAB Type Physician Office
Facility Name GENESIS HEALTHCARE PARTNERS, PC
Street 16311 VENTURA BLVD STE 775
City ENCINO
State CA
ZIP 91436
Phone 818 989-1917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director DR. KENNETH L. BUCH

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