05D1072810 CLIA NUMBER - PACIFIC ADULT DAY HEALTH CARE

Laboratory Demographics

  • CLIA Code: 05D1072810
  • Facility Name: PACIFIC ADULT DAY HEALTH CARE
  • Facility Address: 16861 PARTHENIA ST
    NORTHRIDGE, CA
    ZIP 91324
  • Facility Phone: 818 776-8700
  • Facility Type: Other - ADULT DAY HEALTH CARE
  • Facility Type: Waiver
  • Lab Director: JUN CHUNG
  • NPI Number: 1124210497
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1072810
LAB Type Other - ADULT DAY HEALTH CARE
Facility Name PACIFIC ADULT DAY HEALTH CARE
Street 16861 PARTHENIA ST
City NORTHRIDGE
State CA
ZIP 91324
Phone 818 776-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Other - ADULT DAY HEALTH CARE
Lab Director JUN CHUNG

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