05D2251800 CLIA NUMBER - EXPRESS HOME CARE

Laboratory Demographics

  • CLIA Code: 05D2251800
  • Facility Name: EXPRESS HOME CARE
  • Facility Address: 15643 SHERMAN WAY SUITE #210
    VAN NUYS, CA
    ZIP 91406
  • Facility Phone: 661 418-0111
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GILBERT FAUSTINA
  • NPI Number: 1962908756
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2251800
LAB Type Home Health Agency
Facility Name EXPRESS HOME CARE
Street 15643 SHERMAN WAY SUITE #210
City VAN NUYS
State CA
ZIP 91406
Phone 661 418-0111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Home Health Agency
Lab Director GILBERT FAUSTINA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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