05D0999832 CLIA NUMBER - BROOKDALE NORTHRIDGE

Laboratory Demographics

  • CLIA Code: 05D0999832
  • Facility Name: BROOKDALE NORTHRIDGE
  • Facility Address: 17650 DEVONSHIRE ST
    NORTHRIDGE, CA
    ZIP 91325
  • Facility Phone: 818 886-1616
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM JOSEPHSON, MD
  • NPI Number: 1851609143
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0999832
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROOKDALE NORTHRIDGE
Street 17650 DEVONSHIRE ST
City NORTHRIDGE
State CA
ZIP 91325
Phone 818 886-1616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director WILLIAM JOSEPHSON, MD

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