05D1010166 CLIA NUMBER - EMMANUEL C LUNA MD

Laboratory Demographics

  • CLIA Code: 05D1010166
  • Facility Name: EMMANUEL C LUNA MD
  • Facility Address: 1500 S CENTRAL AVENUE SUITE 321
    GLENDALE, CA
    ZIP 91204
  • Facility Phone: 818 500-0880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMMANUEL C. LUNA MD
  • NPI Number: 1316968571
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1010166
LAB Type Physician Office
Facility Name EMMANUEL C LUNA MD
Street 1500 S CENTRAL AVENUE SUITE 321
City GLENDALE
State CA
ZIP 91204
Phone 818 500-0880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director EMMANUEL C. LUNA MD

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