05D0059868 CLIA NUMBER - ADVENTIST HEALTH GLENDALE LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0059868
  • Facility Name: ADVENTIST HEALTH GLENDALE LABORATORY
  • Facility Address: 1509 WILSON TERRACE
    GLENDALE, CA
    ZIP 91206
  • Facility Phone: 818 409-8310
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. LAWRENCE WILLES
  • NPI Number: 1437412905
  • Taxonomy: 207RE0101X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0059868
LAB Type Hospital
Facility Name ADVENTIST HEALTH GLENDALE LABORATORY
Street 1509 WILSON TERRACE
City GLENDALE
State CA
ZIP 91206
Phone 818 409-8310
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. LAWRENCE WILLES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025