05D2280256 CLIA NUMBER - HERITAGE LABS INC

Laboratory Demographics

  • CLIA Code: 05D2280256
  • Facility Name: HERITAGE LABS INC
  • Facility Address: 4741 LAUREL CANYON BLVD STE 204
    VALLEY VILLAGE, CA
    ZIP 91607
  • Facility Phone: 818 824-3154
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: CHRISTINE L. RONGEY
  • NPI Number: 1568158905
  • Taxonomy: 207ZC0006X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 05D2280256
LAB Type Independent
Facility Name HERITAGE LABS INC
Street 4741 LAUREL CANYON BLVD STE 204
City VALLEY VILLAGE
State CA
ZIP 91607
Phone 818 824-3154
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/17/2023
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director CHRISTINE L. RONGEY

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