05D2271515 CLIA NUMBER - OLIVE VIEW MENTAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2271515
  • Facility Name: OLIVE VIEW MENTAL HEALTH CENTER
  • Facility Address: 14238 SARANAC LANE ROOM 130
    SYLMAR, CA
    ZIP 91342
  • Facility Phone: 213 738-4725
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ANGEL CIENFUEGOS
  • NPI Number: 1225003072
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2271515
LAB Type Community Clinic
Facility Name OLIVE VIEW MENTAL HEALTH CENTER
Street 14238 SARANAC LANE ROOM 130
City SYLMAR
State CA
ZIP 91342
Phone 213 738-4725
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Community Clinic
Lab Director ANGEL CIENFUEGOS

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