05D2204632 CLIA NUMBER - INFINITY HOMECARE AGENCY, INC.

Laboratory Demographics

  • CLIA Code: 05D2204632
  • Facility Name: INFINITY HOMECARE AGENCY, INC.
  • Facility Address: 7050 OWENSMOUTH AVE SUITE 210
    CANOGA PARK, CA
    ZIP 91303
  • Facility Phone: 818 912-6611
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DAVID BOSTANJIAN
  • NPI Number: 1245735786
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2204632
LAB Type Home Health Agency
Facility Name INFINITY HOMECARE AGENCY, INC.
Street 7050 OWENSMOUTH AVE SUITE 210
City CANOGA PARK
State CA
ZIP 91303
Phone 818 912-6611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Home Health Agency
Lab Director DAVID BOSTANJIAN

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