05D2306509 CLIA NUMBER - CENTRUM HOME HEALTH INC

Laboratory Demographics

  • CLIA Code: 05D2306509
  • Facility Name: CENTRUM HOME HEALTH INC
  • Facility Address: 12501 CHANDLER BLVD SUITE 202A
    VALLEY VILLAGE, CA
    ZIP 91607
  • Facility Phone: 747 377-1949
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER G. CHOW
  • NPI Number: 1700548310
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2306509
LAB Type Home Health Agency
Facility Name CENTRUM HOME HEALTH INC
Street 12501 CHANDLER BLVD SUITE 202A
City VALLEY VILLAGE
State CA
ZIP 91607
Phone 747 377-1949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Home Health Agency
Lab Director CHRISTOPHER G. CHOW

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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