05D2007806 CLIA NUMBER - EMILY-ANNE CENTER, INC

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Laboratory Demographics

CLIA Number: 05D2007806

Facility Name: EMILY-ANNE CENTER, INC

Facility Address:
8679 CANTERBURY STREET
PANORAMA CITY, CA
ZIP 91402
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Facility Phone Number: 818 781-7244

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1508029133

Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

CLIA Record

Field Name	Field Value
CLIA Number	05D2007806
LAB Type	Physician Office
Facility Name	EMILY-ANNE CENTER, INC
Street	8679 CANTERBURY STREET
City	PANORAMA CITY
State	CA
ZIP	91402
Phone	818 781-7244
CertificateType	4
CertificateEffectiveDate	3/12/2023
CertificateExpirationDate	3/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024