05D1036265 CLIA NUMBER - PALMIRA DEVELOPMENT, INC PROFESSIONAL HOME CARE SERVICE

Laboratory Demographics

  • CLIA Code: 05D1036265
  • Facility Name: PALMIRA DEVELOPMENT, INC PROFESSIONAL HOME CARE SERVICE
  • Facility Address: 14328 VICTORY BLVD UNIT D & E
    VAN NUYS, CA
    ZIP 91401
  • Facility Phone: 213 385-1848
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHERMAN ADAM
  • NPI Number: 1073732590
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1036265
LAB Type Home Health Agency
Facility Name PALMIRA DEVELOPMENT, INC PROFESSIONAL HOME CARE SERVICE
Street 14328 VICTORY BLVD UNIT D & E
City VAN NUYS
State CA
ZIP 91401
Phone 213 385-1848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Home Health Agency
Lab Director SHERMAN ADAM

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