05D1048210 CLIA NUMBER - ARMINE NAZARYAN, MD MEDICAL CLINIC INC

Laboratory Demographics

  • CLIA Code: 05D1048210
  • Facility Name: ARMINE NAZARYAN, MD MEDICAL CLINIC INC
  • Facility Address: 221 S GLENDALE AVE
    GLENDALE, CA
    ZIP 91205
  • Facility Phone: 818 500-0716
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ARMINE NAZARYAN
  • NPI Number: 1972505444
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1048210
LAB Type Other
Facility Name ARMINE NAZARYAN, MD MEDICAL CLINIC INC
Street 221 S GLENDALE AVE
City GLENDALE
State CA
ZIP 91205
Phone 818 500-0716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Other
Lab Director ARMINE NAZARYAN

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