05D2174366 CLIA NUMBER - ELEGANCE HEALTHCARE

Laboratory Demographics

  • CLIA Code: 05D2174366
  • Facility Name: ELEGANCE HEALTHCARE
  • Facility Address: 6345 BALBOA BOULEVARD SUITE 155
    ENCINO, CA
    ZIP 91316
  • Facility Phone: 818 581-4700
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MICHAIL A. JAMES
  • NPI Number: 1396117982
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2174366
LAB Type Home Health Agency
Facility Name ELEGANCE HEALTHCARE
Street 6345 BALBOA BOULEVARD SUITE 155
City ENCINO
State CA
ZIP 91316
Phone 818 581-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Home Health Agency
Lab Director MICHAIL A. JAMES

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