05D0560971 CLIA NUMBER - PHILIP LICHTENFELD MD

Laboratory Demographics

  • CLIA Code: 05D0560971
  • Facility Name: PHILIP LICHTENFELD MD
  • Facility Address: 16550 VENTURA BLVD SUITE 320
    ENCINO, CA
    ZIP 91436
  • Facility Phone: 818 784-7784
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PHILIP M. LICHTENFELD
  • NPI Number: 1295880227
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0560971
LAB Type Physician Office
Facility Name PHILIP LICHTENFELD MD
Street 16550 VENTURA BLVD SUITE 320
City ENCINO
State CA
ZIP 91436
Phone 818 784-7784
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 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director PHILIP M. LICHTENFELD

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