05D0861405 CLIA NUMBER - GLENDALE COMMUNITY COLLEGE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0861405
  • Facility Name: GLENDALE COMMUNITY COLLEGE HEALTH CENTER
  • Facility Address: 1500 NORTH VERDUGO ROAD
    GLENDALE, CA
    ZIP 91208
  • Facility Phone: 818 551-5189
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JAMES CORNELL MD
  • NPI Number: 1366111650
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0861405
LAB Type School/Student Health Service
Facility Name GLENDALE COMMUNITY COLLEGE HEALTH CENTER
Street 1500 NORTH VERDUGO ROAD
City GLENDALE
State CA
ZIP 91208
Phone 818 551-5189
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type School/Student Health Service
Lab Director JAMES CORNELL MD

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