05D1090855 CLIA NUMBER - ANDREW M MATTHEW, MD

Laboratory Demographics

  • CLIA Code: 05D1090855
  • Facility Name: ANDREW M MATTHEW, MD
  • Facility Address: 358 KANAN ROAD
    OAK PARK, CA
    ZIP 91377
  • Facility Phone: 818 707-0046
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW M. MATTHEW MD
  • NPI Number: 1194809558
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1090855
LAB Type Physician Office
Facility Name ANDREW M MATTHEW, MD
Street 358 KANAN ROAD
City OAK PARK
State CA
ZIP 91377
Phone 818 707-0046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Physician Office
Lab Director ANDREW M. MATTHEW MD

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