05D1019530 CLIA NUMBER - LAKE VIEW ADHC

Laboratory Demographics

  • CLIA Code: 05D1019530
  • Facility Name: LAKE VIEW ADHC
  • Facility Address: 12040 FOOTHILL BLVD STE 110-115
    LAKE VIEW TERRACE, CA
    ZIP 91342
  • Facility Phone: 818 890-3133
  • Facility Type: Other - ADULT DAY HEALTH CARE CTR
  • Facility Type: Waiver
  • Lab Director: SILVA KARCHIKIAN
  • NPI Number: 1962716498
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1019530
LAB Type Other - ADULT DAY HEALTH CARE CTR
Facility Name LAKE VIEW ADHC
Street 12040 FOOTHILL BLVD STE 110-115
City LAKE VIEW TERRACE
State CA
ZIP 91342
Phone 818 890-3133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Other - ADULT DAY HEALTH CARE CTR
Lab Director SILVA KARCHIKIAN

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