CLIA lab
CLIA 05D2159452: Revivify Home Health Care
Toluca Lake, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2159452 belongs to Revivify Home Health Care in Toluca Lake, CA.
Certificate of Waiver, effective December 18, 2024, expires December 17, 2026.
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
- December 18, 2024
- Certificate expiration
- December 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 18, 2018
- Facility type
- Home health agency
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2159452
- Lab name
- Revivify Home Health Care
- Address
- 10201 Riverside Dr Suite 206, Toluca Lake, CA 91602
- Phone
- (818) 967-5090
- Fax
- (818) 967-5091
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Revivify Home Health Care in Toluca Lake?
05D2159452, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revivify Home Health Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2159452 expire?
The CMS file lists December 17, 2026 as the certificate expiration date; the certificate took effect December 18, 2024.