05D2165442 CLIA NUMBER - SF VALLEY CONGREGATE LIVING, INC

Laboratory Demographics

  • CLIA Code: 05D2165442
  • Facility Name: SF VALLEY CONGREGATE LIVING, INC
  • Facility Address: 7332 CLAIRE AVENUE
    RESEDA, CA
    ZIP 91335
  • Facility Phone: 818 578-4016
  • Facility Type: Other - CONGREGATE LIVING
  • Facility Type: Waiver
  • Lab Director: SUMAN PATEL
  • NPI Number: 1710481106
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2165442
LAB Type Other - CONGREGATE LIVING
Facility Name SF VALLEY CONGREGATE LIVING, INC
Street 7332 CLAIRE AVENUE
City RESEDA
State CA
ZIP 91335
Phone 818 578-4016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Other - CONGREGATE LIVING
Lab Director SUMAN PATEL

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