05D0995279 CLIA NUMBER - YEHUDA HANDELSMAN, MD

Laboratory Demographics

  • CLIA Code: 05D0995279
  • Facility Name: YEHUDA HANDELSMAN, MD
  • Facility Address: 18372 CLARK STREET, STE 212
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 818 708-9942
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YEHUDA HANDELSMAN MD
  • NPI Number: 1063453769
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0995279
LAB Type Physician Office
Facility Name YEHUDA HANDELSMAN, MD
Street 18372 CLARK STREET, STE 212
City TARZANA
State CA
ZIP 91356
Phone 818 708-9942
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2023
Certificate Expiration Date 6/29/2025
Facility Type Physician Office
Lab Director YEHUDA HANDELSMAN MD

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This page was last updated on: 3/20/2025