05D1006446 CLIA NUMBER - VALLEY VILLAGE

Laboratory Demographics

  • CLIA Code: 05D1006446
  • Facility Name: VALLEY VILLAGE
  • Facility Address: 20830 SHERMAN WAY
    WINNETKA, CA
    ZIP 91306
  • Facility Phone: 818 587-9450
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: SIKANDER KAJANI
  • NPI Number: 1952519357
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1006446
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name VALLEY VILLAGE
Street 20830 SHERMAN WAY
City WINNETKA
State CA
ZIP 91306
Phone 818 587-9450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SIKANDER KAJANI

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