05D2310728 CLIA NUMBER - GENTLE LOVING CARE

Laboratory Demographics

  • CLIA Code: 05D2310728
  • Facility Name: GENTLE LOVING CARE
  • Facility Address: 225 E BROADWAY STE 301E
    GLENDALE, CA
    ZIP 91205
  • Facility Phone: 818 856-4466
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BERJ DERMENDJIAN
  • NPI Number: 1376125120
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2310728
LAB Type Home Health Agency
Facility Name GENTLE LOVING CARE
Street 225 E BROADWAY STE 301E
City GLENDALE
State CA
ZIP 91205
Phone 818 856-4466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Home Health Agency
Lab Director BERJ DERMENDJIAN

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