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05D1010428 CLIA NUMBER - SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOC LAB

Laboratory Demographics

CLIA Number: 05D1010428

Facility Name: SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOC LAB

Facility Address:
5363 BALBOA BLVD, STE 345
ENCINO, CA
ZIP 91316
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Facility Phone Number: 323 525-1111

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1477720613

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 05D1010428
LAB Type Physician Office
Facility Name SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOC LAB
Street 5363 BALBOA BLVD, STE 345
City ENCINO
State CA
ZIP 91316
Phone 323 525-1111
CertificateType 2
CertificateEffectiveDate 3/26/2022
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024