05D1092030 CLIA NUMBER - SC PHYSICIAN GROUP DBA URGENT 9, URGENT CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D1092030
  • Facility Name: SC PHYSICIAN GROUP DBA URGENT 9, URGENT CARE CENTER
  • Facility Address: 1000 N CENTRAL AVE, STE 140
    GLENDALE, CA
    ZIP 91202
  • Facility Phone: 818 662-7000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MANUEL P. MOMJIAN MD
  • NPI Number: 1316198997
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1092030
LAB Type Physician Office
Facility Name SC PHYSICIAN GROUP DBA URGENT 9, URGENT CARE CENTER
Street 1000 N CENTRAL AVE, STE 140
City GLENDALE
State CA
ZIP 91202
Phone 818 662-7000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/10/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director MANUEL P. MOMJIAN MD

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