05D1078474 CLIA NUMBER - OPTION ONE HOME CARE INC

Laboratory Demographics

  • CLIA Code: 05D1078474
  • Facility Name: OPTION ONE HOME CARE INC
  • Facility Address: 10120 CANOGA AVE STE 200
    CHATSWORTH, CA
    ZIP 91311
  • Facility Phone: 818 719-8622
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GURDIP S. FLORA MD
  • NPI Number: 1306029418
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1078474
LAB Type Home Health Agency
Facility Name OPTION ONE HOME CARE INC
Street 10120 CANOGA AVE STE 200
City CHATSWORTH
State CA
ZIP 91311
Phone 818 719-8622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Home Health Agency
Lab Director GURDIP S. FLORA MD

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