CLIA lab

CLIA 05D2309418: Golden State Home Health Agency, Inc

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

CLIA number 05D2309418 belongs to Golden State Home Health Agency, Inc in Canoga Park, CA.

Certificate of Waiver, effective August 14, 2026, expires August 13, 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
August 14, 2026
Certificate expiration
August 13, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 14, 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
05D2309418
Lab name
Golden State Home Health Agency, Inc
Address
21133 Victory Blvd, Ste 203, Canoga Park, CA 91303
Phone
(818) 835-9888
Fax
(818) 337-7383

Annual test volume the lab reported

Waived tests
100

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

Other labs in Canoga Park, CA

Related

Questions

What is the CLIA number for Golden State Home Health Agency, Inc in Canoga Park?

05D2309418, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Golden State Home Health Agency, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2309418 expire?

The CMS file lists August 13, 2028 as the certificate expiration date; the certificate took effect August 14, 2026.

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