05D2162305 CLIA NUMBER - VALLEY GRACE HOME, INC

Laboratory Demographics

  • CLIA Code: 05D2162305
  • Facility Name: VALLEY GRACE HOME, INC
  • Facility Address: 16052 CHASE STREET
    NORTH HILLS, CA
    ZIP 91343
  • Facility Phone: 818 305-6255
  • Facility Type: Other - CONGREGATE LIVING FAC
  • Facility Type: Waiver
  • Lab Director: SUMAN N. PATEL
  • NPI Number: 1043691371
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2162305
LAB Type Other - CONGREGATE LIVING FAC
Facility Name VALLEY GRACE HOME, INC
Street 16052 CHASE STREET
City NORTH HILLS
State CA
ZIP 91343
Phone 818 305-6255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Other - CONGREGATE LIVING FAC
Lab Director SUMAN N. PATEL

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