05D1007189 CLIA NUMBER - NIRUPA VIGNARAJAN, MD INC

Laboratory Demographics

  • CLIA Code: 05D1007189
  • Facility Name: NIRUPA VIGNARAJAN, MD INC
  • Facility Address: 1030 S GLENDALE AVE #309
    GLENDALE, CA
    ZIP 91205
  • Facility Phone: 818 553-6666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIRUPA VIGNARAJAN MD INC
  • NPI Number: 1073514261
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1007189
LAB Type Physician Office
Facility Name NIRUPA VIGNARAJAN, MD INC
Street 1030 S GLENDALE AVE #309
City GLENDALE
State CA
ZIP 91205
Phone 818 553-6666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director NIRUPA VIGNARAJAN MD INC

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