05D0559182 CLIA NUMBER - PATRICIA L WALTERS DPM

Laboratory Demographics

  • CLIA Code: 05D0559182
  • Facility Name: PATRICIA L WALTERS DPM
  • Facility Address: 18366 CLARK ST SUITE 106
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 818 345-5585
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICIA L. WALTERS
  • NPI Number: 1699378174
  • Taxonomy: 363LA2200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 05D0559182
LAB Type Physician Office
Facility Name PATRICIA L WALTERS DPM
Street 18366 CLARK ST SUITE 106
City TARZANA
State CA
ZIP 91356
Phone 818 345-5585
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director PATRICIA L. WALTERS

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