05D1032636 CLIA NUMBER - BOGIKIAN MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D1032636
  • Facility Name: BOGIKIAN MEDICAL CORPORATION
  • Facility Address: 247 W GLENOAKS BLVD
    GLENDALE, CA
    ZIP 91202
  • Facility Phone: 818 240-3737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AZAT BOGIKIAN MD
  • NPI Number: 1194066969
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1032636
LAB Type Physician Office
Facility Name BOGIKIAN MEDICAL CORPORATION
Street 247 W GLENOAKS BLVD
City GLENDALE
State CA
ZIP 91202
Phone 818 240-3737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director AZAT BOGIKIAN MD

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This page was last updated on: 3/20/2025