CLIA lab

CLIA 05D0955904: Northeast Valley Health Corporation

Van Nuys, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0955904 belongs to Northeast Valley Health Corporation in Van Nuys, CA.

Certificate of Waiver, effective January 13, 2025, expires January 12, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 13, 2025
Certificate expiration
January 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 13, 1999
Facility type
Ancillary test site
Ownership (control type)
Private
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0955904
Lab name
Northeast Valley Health Corporation
Address
7138 Van Nuys Boulevard, Van Nuys, CA 91405
Phone
(818) 898-1388
Fax
(818) 365-4031

Annual test volume the lab reported

Waived tests
1,250

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Van Nuys, CA

Related

Questions

What is the CLIA number for Northeast Valley Health Corporation in Van Nuys?

05D0955904, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northeast Valley Health Corporation hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0955904 expire?

The CMS file lists January 12, 2027 as the certificate expiration date; the certificate took effect January 13, 2025.

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