05D1091384 CLIA NUMBER - GOR AGABABIAN, MD DBA AGABABIAN MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D1091384
  • Facility Name: GOR AGABABIAN, MD DBA AGABABIAN MEDICAL CLINIC
  • Facility Address: 6608 SAN FERNANDO RD
    GLENDALE, CA
    ZIP 91201
  • Facility Phone: 818 246-1824
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GOR AGABABIAN
  • NPI Number: 1063442143
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D1091384
LAB Type Physician Office
Facility Name GOR AGABABIAN, MD DBA AGABABIAN MEDICAL CLINIC
Street 6608 SAN FERNANDO RD
City GLENDALE
State CA
ZIP 91201
Phone 818 246-1824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director GOR AGABABIAN

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