05D0556637 CLIA NUMBER - ALTITUDE PULMONARY AND CRITICAL CARE ASSOCIATES

Laboratory Demographics

CLIA Number: 05D0556637

Facility Name: ALTITUDE PULMONARY AND CRITICAL CARE ASSOCIATES

Facility Address:
435 ARDEN AVE STE 310
GLENDALE, CA
ZIP 91203
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Facility Phone Number: 818 247-6676

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1346709458

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	05D0556637
LAB Type	Physician Office
Facility Name	ALTITUDE PULMONARY AND CRITICAL CARE ASSOCIATES
Street	435 ARDEN AVE STE 310
City	GLENDALE
State	CA
ZIP	91203
Phone	818 247-6676
CertificateType	2
CertificateEffectiveDate	1/7/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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