05D1053574 CLIA NUMBER - EL PROYECTO DEL BARRIO INC ESPERANZA CLINIC

Laboratory Demographics

  • CLIA Code: 05D1053574
  • Facility Name: EL PROYECTO DEL BARRIO INC ESPERANZA CLINIC
  • Facility Address: 9140 VAN NUYS BLVD STE #207
    PANORAMA CITY, CA
    ZIP 91402
  • Facility Phone: 818 830-7181
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KARMEN TATULIAN
  • NPI Number: 1568871143
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1053574
LAB Type Other
Facility Name EL PROYECTO DEL BARRIO INC ESPERANZA CLINIC
Street 9140 VAN NUYS BLVD STE #207
City PANORAMA CITY
State CA
ZIP 91402
Phone 818 830-7181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Other
Lab Director KARMEN TATULIAN

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