05D1010357 CLIA NUMBER - SOPHIE SHIRIN MD INC

Laboratory Demographics

  • CLIA Code: 05D1010357
  • Facility Name: SOPHIE SHIRIN MD INC
  • Facility Address: 16260 VENTURA BLVD, STE 300
    ENCINO, CA
    ZIP 91436
  • Facility Phone: 818 905-3880
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SOPHIE SHIRIN
  • NPI Number: 1114106093
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D1010357
LAB Type Physician Office
Facility Name SOPHIE SHIRIN MD INC
Street 16260 VENTURA BLVD, STE 300
City ENCINO
State CA
ZIP 91436
Phone 818 905-3880
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 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Physician Office
Lab Director SOPHIE SHIRIN

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