05D2001479 CLIA NUMBER - MATRIX HEALTH PROMOTION

Laboratory Demographics

  • CLIA Code: 05D2001479
  • Facility Name: MATRIX HEALTH PROMOTION
  • Facility Address: 17141 VENTURA BLVD SUITE 204
    ENCINO, CA
    ZIP 91316
  • Facility Phone: 818 343-7800
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JAMES SCHMIDT
  • NPI Number: 1831328400
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2001479
LAB Type Home Health Agency
Facility Name MATRIX HEALTH PROMOTION
Street 17141 VENTURA BLVD SUITE 204
City ENCINO
State CA
ZIP 91316
Phone 818 343-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Home Health Agency
Lab Director JAMES SCHMIDT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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