05D2199139 CLIA NUMBER - BEST LIFE HOME HEALTH CARE, INC

Laboratory Demographics

  • CLIA Code: 05D2199139
  • Facility Name: BEST LIFE HOME HEALTH CARE, INC
  • Facility Address: 17915 VENTURA BLVD STE 212
    ENCINO, CA
    ZIP 91316
  • Facility Phone: 818 600-8192
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ALLEN ISAAC NUTKIEWICZ
  • NPI Number: 1265922058
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2199139
LAB Type Home Health Agency
Facility Name BEST LIFE HOME HEALTH CARE, INC
Street 17915 VENTURA BLVD STE 212
City ENCINO
State CA
ZIP 91316
Phone 818 600-8192
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Home Health Agency
Lab Director ALLEN ISAAC NUTKIEWICZ

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This page was last updated on: 6/4/2025