05D0558550 CLIA NUMBER - ROBERT FLORES MD INC

Laboratory Demographics

  • CLIA Code: 05D0558550
  • Facility Name: ROBERT FLORES MD INC
  • Facility Address: 11273 LAUREL CANYON BLVD
    SAN FERNANDO, CA
    ZIP 91340
  • Facility Phone: 818 365-3978
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT O. FLORES
  • NPI Number: 1710172382
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0558550
LAB Type Physician Office
Facility Name ROBERT FLORES MD INC
Street 11273 LAUREL CANYON BLVD
City SAN FERNANDO
State CA
ZIP 91340
Phone 818 365-3978
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Physician Office
Lab Director ROBERT O. FLORES

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This page was last updated on: 9/29/2025