05D2135298 CLIA NUMBER - MAGNA VITAE

Laboratory Demographics

  • CLIA Code: 05D2135298
  • Facility Name: MAGNA VITAE
  • Facility Address: 7200 VINELAND AVE STE 214
    SUN VALLEY, CA
    ZIP 91352
  • Facility Phone: 818 522-2975
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MANOUCHER RASHTI
  • NPI Number: 1457800062
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2135298
LAB Type Home Health Agency
Facility Name MAGNA VITAE
Street 7200 VINELAND AVE STE 214
City SUN VALLEY
State CA
ZIP 91352
Phone 818 522-2975
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Home Health Agency
Lab Director MANOUCHER RASHTI

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