05D0874231 CLIA NUMBER - ADVENTIST HEALTH GLENDALE LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0874231
  • Facility Name: ADVENTIST HEALTH GLENDALE LABORATORY
  • Facility Address: 1509 WILSON TERRACE
    GLENDALE, CA
    ZIP 91206
  • Facility Phone: 818 409-8129
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: MICHELE M. COSGROVE MD
  • NPI Number: 1669880787
  • Taxonomy: 2080P0205X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0874231
LAB Type Hospital
Facility Name ADVENTIST HEALTH GLENDALE LABORATORY
Street 1509 WILSON TERRACE
City GLENDALE
State CA
ZIP 91206
Phone 818 409-8129
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Hospital
Lab Director MICHELE M. COSGROVE MD

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