05D0971295 CLIA NUMBER - BURBANK EMERGENCY MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D0971295
  • Facility Name: BURBANK EMERGENCY MEDICAL GROUP INC
  • Facility Address: 501 S BUENA VISTA ST / ER
    BURBANK, CA
    ZIP 91505
  • Facility Phone: 818 847-4055
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STEPHEN E. KISHINEFF, MD
  • NPI Number: 1689636730
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0971295
LAB Type Practitioner Other
Facility Name BURBANK EMERGENCY MEDICAL GROUP INC
Street 501 S BUENA VISTA ST / ER
City BURBANK
State CA
ZIP 91505
Phone 818 847-4055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Practitioner Other
Lab Director STEPHEN E. KISHINEFF, MD

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This page was last updated on: 6/4/2025