05D2301130 CLIA NUMBER - EXPRESS HOMESERVICE INC

Laboratory Demographics

  • CLIA Code: 05D2301130
  • Facility Name: EXPRESS HOMESERVICE INC
  • Facility Address: 7220 WOODMAN AVE UNIT 205
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 818 452-5484
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MIKHAIL CHILINGARYAN
  • NPI Number: 1467004101
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2301130
LAB Type Home Health Agency
Facility Name EXPRESS HOMESERVICE INC
Street 7220 WOODMAN AVE UNIT 205
City VAN NUYS
State CA
ZIP 91405
Phone 818 452-5484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Home Health Agency
Lab Director MIKHAIL CHILINGARYAN

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