CLIA lab

CLIA 05D2162305: Valley Grace Home, Inc

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

CLIA number 05D2162305 belongs to Valley Grace Home, Inc in North Hills, CA.

Certificate of Waiver, effective February 20, 2025, expires February 19, 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
February 20, 2025
Certificate expiration
February 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 20, 2019
Facility type
Other
Ownership (control type)
Proprietary
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
05D2162305
Lab name
Valley Grace Home, Inc
Address
16052 Chase Street, North Hills, CA 91343
Phone
(818) 305-6255
Fax
(818) 305-6252

Annual test volume the lab reported

Waived tests
155

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

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Questions

What is the CLIA number for Valley Grace Home, Inc in North Hills?

05D2162305, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Valley Grace Home, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2162305 expire?

The CMS file lists February 19, 2027 as the certificate expiration date; the certificate took effect February 20, 2025.

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