05D2189980 CLIA NUMBER - ACTIVE HEALTH CARE INC

Laboratory Demographics

  • CLIA Code: 05D2189980
  • Facility Name: ACTIVE HEALTH CARE INC
  • Facility Address: 8337 FOOTHILL BLVD #C
    SUNLAND, CA
    ZIP 91040
  • Facility Phone: 818 273-9812
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ARMEN HOVHANNISYAN
  • NPI Number: 1225494370
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2189980
LAB Type Home Health Agency
Facility Name ACTIVE HEALTH CARE INC
Street 8337 FOOTHILL BLVD #C
City SUNLAND
State CA
ZIP 91040
Phone 818 273-9812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2024
Certificate Expiration Date 8/6/2026
Facility Type Home Health Agency
Lab Director ARMEN HOVHANNISYAN

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