05D0973573 CLIA NUMBER - MISSION HILLS FAMILY MEDICAL CLINIC, INC

Laboratory Demographics

  • CLIA Code: 05D0973573
  • Facility Name: MISSION HILLS FAMILY MEDICAL CLINIC, INC
  • Facility Address: 15340 DEVONSHIRE ST STE 8
    MISSION HILLS, CA
    ZIP 91345
  • Facility Phone: 818 894-9411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMILE SHENOUDA MD
  • NPI Number: 1437334331
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0973573
LAB Type Physician Office
Facility Name MISSION HILLS FAMILY MEDICAL CLINIC, INC
Street 15340 DEVONSHIRE ST STE 8
City MISSION HILLS
State CA
ZIP 91345
Phone 818 894-9411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director EMILE SHENOUDA MD

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