05D0926666 CLIA NUMBER - IGHIA AINTABLIAN, MD

Laboratory Demographics

  • CLIA Code: 05D0926666
  • Facility Name: IGHIA AINTABLIAN, MD
  • Facility Address: 1510 S CENTRAL AVE, SUITE 450
    GLENDALE, CA
    ZIP 91204
  • Facility Phone: 818 500-8822
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IGHIA AINTABLIAN
  • NPI Number: 1548358369
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0926666
LAB Type Physician Office
Facility Name IGHIA AINTABLIAN, MD
Street 1510 S CENTRAL AVE, SUITE 450
City GLENDALE
State CA
ZIP 91204
Phone 818 500-8822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director IGHIA AINTABLIAN

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