05D2125066 CLIA NUMBER - PROACTIVE WORK HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D2125066
  • Facility Name: PROACTIVE WORK HEALTH SERVICES
  • Facility Address: 39251 10TH ST WEST
    PALMDALE, CA
    ZIP 93551
  • Facility Phone: 661 274-2000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN R. GREENE
  • NPI Number: 1437615119
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2125066
LAB Type Physician Office
Facility Name PROACTIVE WORK HEALTH SERVICES
Street 39251 10TH ST WEST
City PALMDALE
State CA
ZIP 93551
Phone 661 274-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Physician Office
Lab Director STEPHEN R. GREENE

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