05D0942173 CLIA NUMBER - ALBEER IBRAHIM

Laboratory Demographics

CLIA Number: 05D0942173

Facility Name: ALBEER IBRAHIM

Facility Address:
16260 VENTURA BLVD, #330
ENCINO, CA
ZIP 91436
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Facility Phone Number: 818 789-7937

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255401238

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	05D0942173
LAB Type	Physician Office
Facility Name	ALBEER IBRAHIM
Street	16260 VENTURA BLVD, #330
City	ENCINO
State	CA
ZIP	91436
Phone	818 789-7937
CertificateType	4
CertificateEffectiveDate	3/6/2024
CertificateExpirationDate	3/5/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024