05D1088584 CLIA NUMBER - DAGMAR LIEPA, MD

Laboratory Demographics

  • CLIA Code: 05D1088584
  • Facility Name: DAGMAR LIEPA, MD
  • Facility Address: 14407 HAMLIN ST, STE A
    VAN NUYS, CA
    ZIP 91401
  • Facility Phone: 818 904-9008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAGMAR LIEPA MD
  • NPI Number: 1881742047
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D1088584
LAB Type Physician Office
Facility Name DAGMAR LIEPA, MD
Street 14407 HAMLIN ST, STE A
City VAN NUYS
State CA
ZIP 91401
Phone 818 904-9008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Physician Office
Lab Director DAGMAR LIEPA MD

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