05D1010973 CLIA NUMBER - LAN SU DMD PHD VILLAGE MED AND DENTAL CENTER

Laboratory Demographics

  • CLIA Code: 05D1010973
  • Facility Name: LAN SU DMD PHD VILLAGE MED AND DENTAL CENTER
  • Facility Address: 31332 VIA COLINAS, STE 109
    WESTLAKE VILLAGE, CA
    ZIP 91362
  • Facility Phone: 818 865-1039
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: LAN SU, DMD, PHD
  • NPI Number: 1184869463
  • Taxonomy: 1223P0106X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D1010973
LAB Type Independent
Facility Name LAN SU DMD PHD VILLAGE MED AND DENTAL CENTER
Street 31332 VIA COLINAS, STE 109
City WESTLAKE VILLAGE
State CA
ZIP 91362
Phone 818 865-1039
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 3/29/2022
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director LAN SU, DMD, PHD

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