05D0559202 CLIA NUMBER - JERROLD S DREYER MD

Laboratory Demographics

  • CLIA Code: 05D0559202
  • Facility Name: JERROLD S DREYER MD
  • Facility Address: 4835 VAN NUYS BLVD STE 109
    SHERMAN OAKS, CA
    ZIP 91403
  • Facility Phone: 818 784-3615
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JERROLD S. DREYER
  • NPI Number: 1316962756
  • Taxonomy: 207RI0200X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0559202
LAB Type Physician Office
Facility Name JERROLD S DREYER MD
Street 4835 VAN NUYS BLVD STE 109
City SHERMAN OAKS
State CA
ZIP 91403
Phone 818 784-3615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director JERROLD S. DREYER

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