05D2150584 CLIA NUMBER - SUNRISE CONGREGATE CORP

Laboratory Demographics

  • CLIA Code: 05D2150584
  • Facility Name: SUNRISE CONGREGATE CORP
  • Facility Address: 14538 LEADWELL ST
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 818 287-8584
  • Facility Type: Other - CONGREGATED LIVING HEALTH
  • Facility Type: Waiver
  • Lab Director: SAMVEL HMAYAKYAN
  • NPI Number: 1134504459
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2150584
LAB Type Other - CONGREGATED LIVING HEALTH
Facility Name SUNRISE CONGREGATE CORP
Street 14538 LEADWELL ST
City VAN NUYS
State CA
ZIP 91405
Phone 818 287-8584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Other - CONGREGATED LIVING HEALTH
Lab Director SAMVEL HMAYAKYAN

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