05D0870369 CLIA NUMBER - JULIO N VASQUEZ MD

Laboratory Demographics

  • CLIA Code: 05D0870369
  • Facility Name: JULIO N VASQUEZ MD
  • Facility Address: 8540 RESEDA BLVD STE 240
    NORTHRIDGE, CA
    ZIP 91324
  • Facility Phone: 818 772-7023
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIO N. VASQUEZ
  • NPI Number: 1639262561
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0870369
LAB Type Physician Office
Facility Name JULIO N VASQUEZ MD
Street 8540 RESEDA BLVD STE 240
City NORTHRIDGE
State CA
ZIP 91324
Phone 818 772-7023
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 Physician Office
Lab Director JULIO N. VASQUEZ

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