05D2093644 CLIA NUMBER - VILLA BALBOA

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CLIA Record

Field Name Field Value
CLIA Number 05D2093644
LAB Type Other - CONGREGATE LIVING HEALTH
Facility Name VILLA BALBOA
Street 16714 PARTHENIA ST
City NORTHRIDGE
State CA
ZIP 91343
Phone 818 891-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Other - CONGREGATE LIVING HEALTH
Lab Director ELENA SPEKTOR, MD

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