05D2116525 CLIA NUMBER - VINE VALLEY HOMES - SHARP

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Field Name	Field Value
CLIA Number	05D2116525
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	VINE VALLEY HOMES - SHARP
Street	8782 SHARP AVE
City	SUN VALLEY
State	CA
ZIP	91352
Phone	818 394-9769
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	7/27/2024
Certificate Expiration Date	7/26/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	LIANA VOLPE, MD

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