05D2287863 CLIA NUMBER - TELECARE OLIVE HOUSE

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CLIA Record

Field Name Field Value
CLIA Number 05D2287863
LAB Type Other - SOCIAL REHAB
Facility Name TELECARE OLIVE HOUSE
Street 14149 BUCHER AVE BUILDING D
City SYLMAR
State CA
ZIP 91342
Phone 747 999-4232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Other - SOCIAL REHAB
Lab Director DAVID SACK

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