05D1066905 CLIA NUMBER - UNITED CEREBRAL PALSY OF LA & VENTURA COUNTIES

Laboratory Demographics

CLIA Code: 05D1066905
Facility Name: UNITED CEREBRAL PALSY OF LA & VENTURA COUNTIES
Facility Address: 6430 INDEPENDENCE AVE
WOODLAND HILLS, CA
ZIP 91367
Facility Phone: 818 782-2211
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: ROBERT TITCHER MD
NPI Number: 1720254535
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	05D1066905
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	UNITED CEREBRAL PALSY OF LA & VENTURA COUNTIES
Street	6430 INDEPENDENCE AVE
City	WOODLAND HILLS
State	CA
ZIP	91367
Phone	818 782-2211
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	4/5/2025
Certificate Expiration Date	4/4/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	ROBERT TITCHER MD

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