05D1047401 CLIA NUMBER - GARY H NUDELL MD

Laboratory Demographics

  • CLIA Code: 05D1047401
  • Facility Name: GARY H NUDELL MD
  • Facility Address: 7345 MEDICAL CENTER DR, STE 160
    WEST HILLS, CA
    ZIP 91307
  • Facility Phone: 818 676-4806
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY H. NUDELL, MD
  • NPI Number: 1881617736
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1047401
LAB Type Physician Office
Facility Name GARY H NUDELL MD
Street 7345 MEDICAL CENTER DR, STE 160
City WEST HILLS
State CA
ZIP 91307
Phone 818 676-4806
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Physician Office
Lab Director GARY H. NUDELL, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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