05D1052082 CLIA NUMBER - HANAN LOBEL M D

Laboratory Demographics

  • CLIA Code: 05D1052082
  • Facility Name: HANAN LOBEL M D
  • Facility Address: 14649 VICTORY BLVD STE 10
    VAN NUYS, CA
    ZIP 91411
  • Facility Phone: 818 989-0041
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HANAN LOBEL
  • NPI Number: 1174612287
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1052082
LAB Type Physician Office
Facility Name HANAN LOBEL M D
Street 14649 VICTORY BLVD STE 10
City VAN NUYS
State CA
ZIP 91411
Phone 818 989-0041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Physician Office
Lab Director HANAN LOBEL

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