CLIA lab

CLIA 05D2322674: Provida Home Health, Inc

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

CLIA number 05D2322674 belongs to Provida Home Health, Inc in Van Nuys, CA.

Certificate of Waiver, effective April 24, 2025, expires April 23, 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
April 24, 2025
Certificate expiration
April 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 24, 2025
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
05D2322674
Lab name
Provida Home Health, Inc
Address
14545 Victory Blvd, Ste 418, Van Nuys, CA 91411
Phone
(818) 528-8798
Fax
(818) 574-5030

Annual test volume the lab reported

Waived tests
5,000

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

Other labs in Van Nuys, CA

Related

Questions

What is the CLIA number for Provida Home Health, Inc in Van Nuys?

05D2322674, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Provida Home Health, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2322674 expire?

The CMS file lists April 23, 2027 as the certificate expiration date; the certificate took effect April 24, 2025.

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