05D0967876 CLIA NUMBER - SHOVEK BOYADJIAN, MD

Laboratory Demographics

  • CLIA Code: 05D0967876
  • Facility Name: SHOVEK BOYADJIAN, MD
  • Facility Address: 14860 ROSCOE BLVD, SUITE 205
    PANORAMA CITY, CA
    ZIP 91402
  • Facility Phone: 818 781-2706
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHOVEK BOYADJIAN MD
  • NPI Number: 1619950342
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0967876
LAB Type Physician Office
Facility Name SHOVEK BOYADJIAN, MD
Street 14860 ROSCOE BLVD, SUITE 205
City PANORAMA CITY
State CA
ZIP 91402
Phone 818 781-2706
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Physician Office
Lab Director SHOVEK BOYADJIAN MD

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