05D0972602 CLIA NUMBER - CARLOS A FLORES MD

Laboratory Demographics

  • CLIA Code: 05D0972602
  • Facility Name: CARLOS A FLORES MD
  • Facility Address: 14673 PARTHENIA ST STE 101
    PANORAMA CITY, CA
    ZIP 91402
  • Facility Phone: 818 785-7300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLOS A. FLORES MD
  • NPI Number: 1407880040
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0972602
LAB Type Physician Office
Facility Name CARLOS A FLORES MD
Street 14673 PARTHENIA ST STE 101
City PANORAMA CITY
State CA
ZIP 91402
Phone 818 785-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director CARLOS A. FLORES MD

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