05D0873082 CLIA NUMBER - GREG J NELSON MD

Laboratory Demographics

  • CLIA Code: 05D0873082
  • Facility Name: GREG J NELSON MD
  • Facility Address: 15243 VANOWEN ST, STE 212
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 818 785-8707
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: GREG J. NELSON MD
  • NPI Number: 1558496950
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0873082
LAB Type Physician Office
Facility Name GREG J NELSON MD
Street 15243 VANOWEN ST, STE 212
City VAN NUYS
State CA
ZIP 91405
Phone 818 785-8707
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director GREG J. NELSON MD

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