CLIA lab
CLIA 05D2196675: Divine Adult Day Health Care Center
Van Nuys, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2196675 belongs to Divine Adult Day Health Care Center in Van Nuys, CA.
Certificate of Waiver, effective October 19, 2024, expiration date October 18, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 19, 2024
- Certificate expiration
- October 18, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 19, 2020
- Facility type
- Physician office
- 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
- 05D2196675
- Lab name
- Divine Adult Day Health Care Center
- Address
- 6650 Van Nuys Boulevard, Van Nuys, CA 91405
- Phone
- (747) 250-7305
- Fax
- (747) 280-2750
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- A S H C Hospice Care IncCertificate of Waiver, Hospice05D2213279
- A&l Medical Center, IncCertificate of Waiver, Physician office05D2343005
- A-Biz Health Systems IncCertificate of Waiver, Home health agency05D2095744
- Advanced Quality Home Care IncCertificate of Waiver, Home health agency05D2303017
- Ae Urgent Care - Van NuysCertificate of Waiver, Physician office05D2289272
- Age Home Health CareCertificate of Waiver, Home health agency05D2343365
- All Inclusive Home CareCertificate of Waiver, Home health agency05D2292890
- All Linked Home Health, IncCertificate of Waiver, Home health agency05D2112938
- All in One Hospice Care IncCertificate of Waiver, Hospice05D2023717
Related
Questions
What is the CLIA number for Divine Adult Day Health Care Center in Van Nuys?
05D2196675, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Divine Adult Day Health Care Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2196675 expire?
The CMS file lists October 18, 2026 as the certificate expiration date; the certificate took effect October 19, 2024.