05D2262423 CLIA NUMBER - PROACTIVE WORK HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D2262423
  • Facility Name: PROACTIVE WORK HEALTH SERVICES
  • Facility Address: 16360 ROSCOE BLVD STE 120
    VAN NUYS, CA
    ZIP 91406
  • Facility Phone: 818 578-0125
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN GREENE
  • NPI Number: 1518602135
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2262423
LAB Type Physician Office
Facility Name PROACTIVE WORK HEALTH SERVICES
Street 16360 ROSCOE BLVD STE 120
City VAN NUYS
State CA
ZIP 91406
Phone 818 578-0125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Physician Office
Lab Director STEPHEN GREENE

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