05D2162712 CLIA NUMBER - ONE & ONLY CONGREGATE LIVING

Laboratory Demographics

  • CLIA Code: 05D2162712
  • Facility Name: ONE & ONLY CONGREGATE LIVING
  • Facility Address: 23296 COHASSET STREET
    CANOGA PARK, CA
    ZIP 91304
  • Facility Phone: 818 912-6683
  • Facility Type: Other - CONGREGATE LIVING FAC
  • Facility Type: Waiver
  • Lab Director: JOSEF LOBEL
  • NPI Number: 1033506068
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2162712
LAB Type Other - CONGREGATE LIVING FAC
Facility Name ONE & ONLY CONGREGATE LIVING
Street 23296 COHASSET STREET
City CANOGA PARK
State CA
ZIP 91304
Phone 818 912-6683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Other - CONGREGATE LIVING FAC
Lab Director JOSEF LOBEL

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