05D0906479 CLIA NUMBER - CALIFORNIA CLINICAL TRIALS

Laboratory Demographics

  • CLIA Code: 05D0906479
  • Facility Name: CALIFORNIA CLINICAL TRIALS
  • Facility Address: 1500 EAST CHEVY CHASE DR 3RD FLOOR
    GLENDALE, CA
    ZIP 91206
  • Facility Phone: 818 254-1600
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LEV GERTSIK
  • NPI Number: 1194749549
  • Taxonomy: 261QR0208X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0906479
LAB Type Other
Facility Name CALIFORNIA CLINICAL TRIALS
Street 1500 EAST CHEVY CHASE DR 3RD FLOOR
City GLENDALE
State CA
ZIP 91206
Phone 818 254-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Other
Lab Director LEV GERTSIK

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