05D1097032 CLIA NUMBER - EDWIN HARONIAN MD, INC

Laboratory Demographics

  • CLIA Code: 05D1097032
  • Facility Name: EDWIN HARONIAN MD, INC
  • Facility Address: 5651 SEPULVEDA BLVD, SIUTE 201
    SHERMAN OAKS, CA
    ZIP 91411
  • Facility Phone: 818 788-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWIN HARONIAN, MD
  • NPI Number: 1063480192
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D1097032
LAB Type Physician Office
Facility Name EDWIN HARONIAN MD, INC
Street 5651 SEPULVEDA BLVD, SIUTE 201
City SHERMAN OAKS
State CA
ZIP 91411
Phone 818 788-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Physician Office
Lab Director EDWIN HARONIAN, MD

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