05D2292553 CLIA NUMBER - BLESSING HOME CARE INC

Laboratory Demographics

  • CLIA Code: 05D2292553
  • Facility Name: BLESSING HOME CARE INC
  • Facility Address: 14545 FRIAR ST SUITE 213
    VAN NUYS, CA
    ZIP 91411
  • Facility Phone: 818 290-3088
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ELSAGAV SHAHAM
  • NPI Number: 1417418559
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2292553
LAB Type Home Health Agency
Facility Name BLESSING HOME CARE INC
Street 14545 FRIAR ST SUITE 213
City VAN NUYS
State CA
ZIP 91411
Phone 818 290-3088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Home Health Agency
Lab Director ELSAGAV SHAHAM

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