05D2010990 CLIA NUMBER - OPTIMAL HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D2010990
  • Facility Name: OPTIMAL HOME HEALTH
  • Facility Address: 19634 VENTURA BLVD #218
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 818 578-8516
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER R. BUTTELMAN
  • NPI Number: 1548597479
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2010990
LAB Type Home Health Agency
Facility Name OPTIMAL HOME HEALTH
Street 19634 VENTURA BLVD #218
City TARZANA
State CA
ZIP 91356
Phone 818 578-8516
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Home Health Agency
Lab Director CHRISTOPHER R. BUTTELMAN

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