05D0561753 CLIA NUMBER - SANDEEP KAPOOR, MD INC

Laboratory Demographics

  • CLIA Code: 05D0561753
  • Facility Name: SANDEEP KAPOOR, MD INC
  • Facility Address: 12311 VENTURA BOULEVARD
    STUDIO CITY, CA
    ZIP 91604
  • Facility Phone: 818 762-1167
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDEEP KAPOOR, MD
  • NPI Number: 1689860165
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0561753
LAB Type Physician Office
Facility Name SANDEEP KAPOOR, MD INC
Street 12311 VENTURA BOULEVARD
City STUDIO CITY
State CA
ZIP 91604
Phone 818 762-1167
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Physician Office
Lab Director SANDEEP KAPOOR, MD

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