05D0996631 CLIA NUMBER - VALLEY VILLAGE ADULT DAY HLTH CTR

Laboratory Demographics

  • CLIA Code: 05D0996631
  • Facility Name: VALLEY VILLAGE ADULT DAY HLTH CTR
  • Facility Address: 20835 SHERMAN WAY
    WINNETKA, CA
    ZIP 91306
  • Facility Phone: 818 587-3600
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: PATEL M. HIMADRI MD
  • NPI Number: 1881805877
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0996631
LAB Type Other
Facility Name VALLEY VILLAGE ADULT DAY HLTH CTR
Street 20835 SHERMAN WAY
City WINNETKA
State CA
ZIP 91306
Phone 818 587-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Other
Lab Director PATEL M. HIMADRI MD

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