05D2295168 CLIA NUMBER - SUNRAY ADHC INC

Laboratory Demographics

  • CLIA Code: 05D2295168
  • Facility Name: SUNRAY ADHC INC
  • Facility Address: 3202 E LOS ANGELES AVE
    SIMI VALLEY, CA
    ZIP 93063
  • Facility Phone: 818 888-6666
  • Facility Type: Other - ADULT DAY HEALTH CARE
  • Facility Type: Waiver
  • Lab Director: ELENA SPEKTOR
  • NPI Number: 1770239295
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2295168
LAB Type Other - ADULT DAY HEALTH CARE
Facility Name SUNRAY ADHC INC
Street 3202 E LOS ANGELES AVE
City SIMI VALLEY
State CA
ZIP 93063
Phone 818 888-6666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Other - ADULT DAY HEALTH CARE
Lab Director ELENA SPEKTOR

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