05D0541990 CLIA NUMBER - MISHA LANZAT DPM

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Laboratory Demographics

CLIA Number: 05D0541990

Facility Name: MISHA LANZAT DPM

Facility Address:
3743 WHITTIER BLVD
LOS ANGELES, CA
ZIP 90023
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Facility Phone Number: 213 268-2711

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114973591

Taxonomy: 213E00000X - Podiatrist
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

CLIA Record

Field Name	Field Value
CLIA Number	05D0541990
LAB Type	Physician Office
Facility Name	MISHA LANZAT DPM
Street	3743 WHITTIER BLVD
City	LOS ANGELES
State	CA
ZIP	90023
Phone	213 268-2711
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024