05D1077331 CLIA NUMBER - MED CARE INC

Laboratory Demographics

  • CLIA Code: 05D1077331
  • Facility Name: MED CARE INC
  • Facility Address: 12722 RIVERSIDE DR STE 101
    VALLEY VILLAGE, CA
    ZIP 91607
  • Facility Phone: 818 336-9811
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: VALERY P. SHULMAN
  • NPI Number: 1942496906
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1077331
LAB Type Home Health Agency
Facility Name MED CARE INC
Street 12722 RIVERSIDE DR STE 101
City VALLEY VILLAGE
State CA
ZIP 91607
Phone 818 336-9811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Home Health Agency
Lab Director VALERY P. SHULMAN

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