05D0909759 CLIA NUMBER - SHEILA DEBMATH MD

Laboratory Demographics

  • CLIA Code: 05D0909759
  • Facility Name: SHEILA DEBMATH MD
  • Facility Address: 1220 S CENTRAL #105
    GLENDALE, CA
    ZIP 91204
  • Facility Phone: 818 545-9539
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHEILA DEBMATH MD
  • NPI Number: 1982773560
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0909759
LAB Type Physician Office
Facility Name SHEILA DEBMATH MD
Street 1220 S CENTRAL #105
City GLENDALE
State CA
ZIP 91204
Phone 818 545-9539
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Physician Office
Lab Director SHEILA DEBMATH MD

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