05D1081121 CLIA NUMBER - RAUL PARDAVE MD

Laboratory Demographics

  • CLIA Code: 05D1081121
  • Facility Name: RAUL PARDAVE MD
  • Facility Address: 1530 EAST CHEVY CHASE DR STE 207
    GLENDALE, CA
    ZIP 91206
  • Facility Phone: 818 545-7418
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAUL A. PARDAVE MD
  • NPI Number: 1558460634
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1081121
LAB Type Physician Office
Facility Name RAUL PARDAVE MD
Street 1530 EAST CHEVY CHASE DR STE 207
City GLENDALE
State CA
ZIP 91206
Phone 818 545-7418
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Physician Office
Lab Director RAUL A. PARDAVE MD

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