05D0557411 CLIA NUMBER - JAY J LIN MD

Laboratory Demographics

  • CLIA Code: 05D0557411
  • Facility Name: JAY J LIN MD
  • Facility Address: 22030 SHERMAN WAY STE 201
    CANOGA PARK, CA
    ZIP 91303
  • Facility Phone: 818 883-6840
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAY J. LIN
  • NPI Number: 1275551251
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0557411
LAB Type Physician Office
Facility Name JAY J LIN MD
Street 22030 SHERMAN WAY STE 201
City CANOGA PARK
State CA
ZIP 91303
Phone 818 883-6840
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director JAY J. LIN

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: 9/29/2025