05D1106723 CLIA NUMBER - DAVID BOSTANJIAN, MD INC

Laboratory Demographics

  • CLIA Code: 05D1106723
  • Facility Name: DAVID BOSTANJIAN, MD INC
  • Facility Address: 501 W. GLENOAKS BLVD SUITE 14
    GLENDALE, CA
    ZIP 91202
  • Facility Phone: 818 500-8466
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID BOSTANJIAN, MD
  • NPI Number: 1639399280
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D1106723
LAB Type Physician Office
Facility Name DAVID BOSTANJIAN, MD INC
Street 501 W. GLENOAKS BLVD SUITE 14
City GLENDALE
State CA
ZIP 91202
Phone 818 500-8466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Physician Office
Lab Director DAVID BOSTANJIAN, MD

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