05D2312693 CLIA NUMBER - VALENCIA OPCO HSRE

Laboratory Demographics

  • CLIA Code: 05D2312693
  • Facility Name: VALENCIA OPCO HSRE
  • Facility Address: 24070 COPPER HILL DR
    VALENCIA, CA
    ZIP 91354
  • Facility Phone: 530 227-5738
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JEFFREY FELGNER
  • NPI Number: 1669006490
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2312693
LAB Type Assisted Living Facility
Facility Name VALENCIA OPCO HSRE
Street 24070 COPPER HILL DR
City VALENCIA
State CA
ZIP 91354
Phone 530 227-5738
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Assisted Living Facility
Lab Director JEFFREY FELGNER

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