05D2089219 CLIA NUMBER - WHITE OAK CONGREGATE LIVING FACILITY

Laboratory Demographics

  • CLIA Code: 05D2089219
  • Facility Name: WHITE OAK CONGREGATE LIVING FACILITY
  • Facility Address: 9301 WHITEOAK AVE
    NORTHRIDGE, CA
    ZIP 91325
  • Facility Phone: 818 885-1135
  • Facility Type: Other - CONGREGATE LIVING HLTH
  • Facility Type: Waiver
  • Lab Director: SUMAN PATEL, MD
  • NPI Number: 1841662038
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2089219
LAB Type Other - CONGREGATE LIVING HLTH
Facility Name WHITE OAK CONGREGATE LIVING FACILITY
Street 9301 WHITEOAK AVE
City NORTHRIDGE
State CA
ZIP 91325
Phone 818 885-1135
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Other - CONGREGATE LIVING HLTH
Lab Director SUMAN PATEL, MD

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