Organization Active NPI

Core Analytics Laboratory, LLC

  • Clinical Medical Laboratory
  • Van Nuys, CA
National Provider Identifier
1003904673
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF11367 Issued in CA
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

Updated by the provider on Jan 21, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05D0928967OtherCACLIA NUMBER
LAB28967GMedicaidCA
5988936OtherCAPIN #

Other names 2

  • CALIFORNIA DIAGNOSTIC LABORATORY Former legal business name
  • CERF DIAGNOSTIC LABORATORY, INC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060407000635 CA Part B Supplier - Independent Clinical Laboratory 7214946979 Practice locations: Van Nuys, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0928967Core Analytics Laboratory LLC14735 Califa St, Van Nuys, CA 91411ComplianceMar 4, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.