CLIA lab
CLIA 05D2307926: Provital Care Inc
Chatsworth, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2307926 belongs to Provital Care Inc in Chatsworth, CA.
Certificate of Waiver, effective July 17, 2026, expires July 16, 2028.
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
- July 17, 2026
- Certificate expiration
- July 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 17, 2024
- Facility type
- Home health agency
- 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
- 05D2307926
- Lab name
- Provital Care Inc
- Address
- 20953 Devonshire St Ste 6, Chatsworth, CA 91311
- Phone
- (747) 282-1555
- Fax
- (818) 300-2265
Annual test volume the lab reported
- Waived tests
- 35
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Provital Care, IncCMS Care Compare ratings for the facility at the same street address
Other labs in Chatsworth, CA
- Advantage Health Center, IncCertificate of Waiver, Physician office05D2316576
- Alphamed Home HealthCertificate of Waiver, Home health agency05D2290968
- Alt Recovery GroupCertificate of Waiver, Other05D2164139
- American Specialty LaboratoryCertificate of Compliance, Other05D2043525
- Angels Visit Home HealthCertificate of Waiver, Home health agency05D2289149
- Aram Mkhitarian CorpCertificate of Waiver, Physician office05D2272436
- ArmmedCertificate of Waiver, Home health agency05D2315323
- Bright Source Hospice, LLCCertificate of Waiver, Hospice05D2223252
- Care Partners Hospice Inc.Certificate of Waiver, Hospice05D2297121
- Careonsite-Scg ChatsworthCertificate of Waiver, Industrial05D2066669
Related
Questions
What is the CLIA number for Provital Care Inc in Chatsworth?
05D2307926, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Provital Care Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2307926 expire?
The CMS file lists July 16, 2028 as the certificate expiration date; the certificate took effect July 17, 2026.