05D1061268 CLIA NUMBER - DAN T LA MD INC

Laboratory Demographics

  • CLIA Code: 05D1061268
  • Facility Name: DAN T LA MD INC
  • Facility Address: 6673 FOOTHILL BLVD
    TUJUNGA, CA
    ZIP 91042
  • Facility Phone: 818 265-2250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAN T. LA MD
  • NPI Number: 1447273263
  • Taxonomy: 207RR0500X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1061268
LAB Type Physician Office
Facility Name DAN T LA MD INC
Street 6673 FOOTHILL BLVD
City TUJUNGA
State CA
ZIP 91042
Phone 818 265-2250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director DAN T. LA 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