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05D0558190 CLIA NUMBER - BORIS RATINER MD INC DBA RHEUMATOLOGY THERAPEUTICS MEDICAL CENTER

Laboratory Demographics

CLIA Number: 05D0558190

Facility Name: BORIS RATINER MD INC DBA RHEUMATOLOGY THERAPEUTICS MEDICAL CENTER

Facility Address:
18386 VENTURA BLVD
TARZANA, CA
ZIP 91356
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Facility Phone Number: 818 996-4077

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1437410909

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name Field Value
CLIA Number 05D0558190
LAB Type Physician Office
Facility Name BORIS RATINER MD INC DBA RHEUMATOLOGY THERAPEUTICS MEDICAL CENTER
Street 18386 VENTURA BLVD
City TARZANA
State CA
ZIP 91356
Phone 818 996-4077
CertificateType 2
CertificateEffectiveDate 3/22/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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