05D2089355 CLIA NUMBER - WEST VALLEY HOME HEALTH CARE INC

Laboratory Demographics

  • CLIA Code: 05D2089355
  • Facility Name: WEST VALLEY HOME HEALTH CARE INC
  • Facility Address: 17915 VENTURA BLVD STE 200
    ENCINO, CA
    ZIP 91316
  • Facility Phone: 818 344-9844
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ALLAN I. NUTKIEWICZ
  • NPI Number: 1366477655
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2089355
LAB Type Home Health Agency
Facility Name WEST VALLEY HOME HEALTH CARE INC
Street 17915 VENTURA BLVD STE 200
City ENCINO
State CA
ZIP 91316
Phone 818 344-9844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Home Health Agency
Lab Director ALLAN I. NUTKIEWICZ

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