05D0973344 CLIA NUMBER - RAYMOND BAILEY, MD

Laboratory Demographics

  • CLIA Code: 05D0973344
  • Facility Name: RAYMOND BAILEY, MD
  • Facility Address: 18370 BURBANK BOULEVARD, SUITE #211
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 818 776-2418
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAYMOND P. BAILEY MD
  • NPI Number: 1346347408
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0973344
LAB Type Physician Office
Facility Name RAYMOND BAILEY, MD
Street 18370 BURBANK BOULEVARD, SUITE #211
City TARZANA
State CA
ZIP 91356
Phone 818 776-2418
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director RAYMOND P. BAILEY MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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