05D0985281 CLIA NUMBER - DAPHNE PANAGOTACOS MD

Laboratory Demographics

  • CLIA Code: 05D0985281
  • Facility Name: DAPHNE PANAGOTACOS MD
  • Facility Address: 32144 AGOURA RD STE 106
    WESTLAKE VILLAGE, CA
    ZIP 91361
  • Facility Phone: 805 379-3376
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAPHNE I. PANAGOTACOS
  • NPI Number: 1811091069
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0985281
LAB Type Physician Office
Facility Name DAPHNE PANAGOTACOS MD
Street 32144 AGOURA RD STE 106
City WESTLAKE VILLAGE
State CA
ZIP 91361
Phone 805 379-3376
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/5/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DAPHNE I. PANAGOTACOS

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