05D0963470 CLIA NUMBER - DYNAMIC HOME CARE

Laboratory Demographics

  • CLIA Code: 05D0963470
  • Facility Name: DYNAMIC HOME CARE
  • Facility Address: 14260 VENTURA BLVD, STE 301
    SHERMAN OAKS, CA
    ZIP 91423
  • Facility Phone: 818 981-4446
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DAHLIA CARR
  • NPI Number: 1811076870
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0963470
LAB Type Home Health Agency
Facility Name DYNAMIC HOME CARE
Street 14260 VENTURA BLVD, STE 301
City SHERMAN OAKS
State CA
ZIP 91423
Phone 818 981-4446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Home Health Agency
Lab Director DAHLIA CARR

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