05D1046950 CLIA NUMBER - TERENCE B THOMPSON, MD

Laboratory Demographics

  • CLIA Code: 05D1046950
  • Facility Name: TERENCE B THOMPSON, MD
  • Facility Address: 8833 RESEDA BLVD STE A
    NORTHRIDGE, CA
    ZIP 91324
  • Facility Phone: 818 341-0670
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERENCE B. THOMPSON, MD
  • NPI Number: 1497746663
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1046950
LAB Type Physician Office
Facility Name TERENCE B THOMPSON, MD
Street 8833 RESEDA BLVD STE A
City NORTHRIDGE
State CA
ZIP 91324
Phone 818 341-0670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Physician Office
Lab Director TERENCE B. THOMPSON, MD

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