05D2308625 CLIA NUMBER - VALVERDE ICF DDN

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CLIA Record

Field Name Field Value
CLIA Number 05D2308625
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name VALVERDE ICF DDN
Street 7600 VANALDEN AVE
City RESEDA
State CA
ZIP 91335
Phone 818 342-3826
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SIAMAK P. ETEHAD

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