05D0993934 CLIA NUMBER - KENWOOD ADHC

Laboratory Demographics

  • CLIA Code: 05D0993934
  • Facility Name: KENWOOD ADHC
  • Facility Address: 213 S KENWOOD
    GLENDALE, CA
    ZIP 91205
  • Facility Phone: 818 637-7880
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARO OKTANYAN MD
  • NPI Number: 1225241516
  • Taxonomy: 261QA0600X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0993934
LAB Type Other
Facility Name KENWOOD ADHC
Street 213 S KENWOOD
City GLENDALE
State CA
ZIP 91205
Phone 818 637-7880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Other
Lab Director MARO OKTANYAN 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