05D2159718 CLIA NUMBER - PROFESSIONAL NURSING INC

Laboratory Demographics

  • CLIA Code: 05D2159718
  • Facility Name: PROFESSIONAL NURSING INC
  • Facility Address: 12501 CHANDLER BLVD STE 205
    VALLEY VILLAGE, CA
    ZIP 91607
  • Facility Phone: 818 955-5848
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: WILLIAM BICHAI
  • NPI Number: 1659577971
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2159718
LAB Type Home Health Agency
Facility Name PROFESSIONAL NURSING INC
Street 12501 CHANDLER BLVD STE 205
City VALLEY VILLAGE
State CA
ZIP 91607
Phone 818 955-5848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/24/2024
Certificate Expiration Date 12/23/2026
Facility Type Home Health Agency
Lab Director WILLIAM BICHAI

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