05D2104667 CLIA NUMBER - NEW HAVEN CONGREGATE LIVING INC

Laboratory Demographics

  • CLIA Code: 05D2104667
  • Facility Name: NEW HAVEN CONGREGATE LIVING INC
  • Facility Address: 7736 SANCOLA AVE
    SUN VALLEY, CA
    ZIP 91352
  • Facility Phone: 818 445-5276
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: SUMAN PATEL MD
  • NPI Number: 1285041889
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2104667
LAB Type Ancillary Testing Site in Health Care Center
Facility Name NEW HAVEN CONGREGATE LIVING INC
Street 7736 SANCOLA AVE
City SUN VALLEY
State CA
ZIP 91352
Phone 818 445-5276
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director SUMAN PATEL MD

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