05D0981505 CLIA NUMBER - RON BAHAR MD A MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0981505
  • Facility Name: RON BAHAR MD A MEDICAL CORPORATION
  • Facility Address: 5363 BALBOA BLVD STE 540
    ENCINO, CA
    ZIP 91316
  • Facility Phone: 818 905-6600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RON J. BAHAR MD
  • NPI Number: 1750479002
  • Taxonomy: 2080P0206X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0981505
LAB Type Physician Office
Facility Name RON BAHAR MD A MEDICAL CORPORATION
Street 5363 BALBOA BLVD STE 540
City ENCINO
State CA
ZIP 91316
Phone 818 905-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Physician Office
Lab Director RON J. BAHAR MD

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