Active NPI
Core Analytics Laboratory, LLC
- Clinical Medical Laboratory
- Van Nuys, CA
National Provider Identifier
1003904673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- CLF11367
- Legal business name
- CORE ANALYTICS LABORATORY, LLC
- Practice address
- 14735 Califa St
Van Nuys, CA 91411-3107 - Phone
- (818) 906-2614
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlos Ruiz
- Title
- Vice President
- Phone
- (818) 906-2614
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CLF11367 | CA | Primary |
Addresses
Primary practice location
14735 Califa St
Van Nuys, CA 91411-3107
Mailing address
14735 Califa St
Van Nuys, CA 91411-3107
Phone (818) 906-2614
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D0928967 | Other | CA | CLIA NUMBER |
| LAB28967G | Medicaid | CA | |
| 5988936 | Other | CA | PIN # |
Other names 2
- CALIFORNIA DIAGNOSTIC LABORATORY
- CERF DIAGNOSTIC LABORATORY, INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060407000635 | CA | Part B Supplier - Independent Clinical Laboratory | 7214946979 | Practice locations: Van Nuys, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0928967 | Core Analytics Laboratory LLC | Compliance | Mar 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
2102 N California St
Stockton, CA 95204
Phone (209) 467-6430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768953600000",
"number": "1003904673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14735 CALIFA ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914113107",
"telephone_number": "818-906-2614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14735 CALIFA ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914113107",
"telephone_number": "818-906-2614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE ANALYTICS LABORATORY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A",
"authorized_official_last_name": "RUIZ",
"authorized_official_first_name": "CARLOS",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "818-906-2614"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLF11367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA NUMBER",
"identifier": "05D0928967",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LAB28967G",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN #",
"identifier": "5988936",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CALIFORNIA DIAGNOSTIC LABORATORY",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "CERF DIAGNOSTIC LABORATORY, INC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "CERF DIAGNOSTIC LABORATORY, INC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.