05D2285389 CLIA NUMBER - CALSTATE HEALTHCARE, INC

Laboratory Demographics

  • CLIA Code: 05D2285389
  • Facility Name: CALSTATE HEALTHCARE, INC
  • Facility Address: 6308 WOODMAN AVE SUITE 107
    VAN NUYS, CA
    ZIP 91401
  • Facility Phone: 818 922-2727
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: VAHAN KOSHKARYAN
  • NPI Number: 1972137891
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2285389
LAB Type Home Health Agency
Facility Name CALSTATE HEALTHCARE, INC
Street 6308 WOODMAN AVE SUITE 107
City VAN NUYS
State CA
ZIP 91401
Phone 818 922-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Home Health Agency
Lab Director VAHAN KOSHKARYAN

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