05D2000456 CLIA NUMBER - MARK A GERARD, MD, A MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2000456
  • Facility Name: MARK A GERARD, MD, A MEDICAL CORPORATION
  • Facility Address: 201 S BUENA VISTA ST #250
    BURBANK, CA
    ZIP 91505
  • Facility Phone: 818 562-3200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK A. GERARD
  • NPI Number: 1023036670
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2000456
LAB Type Physician Office
Facility Name MARK A GERARD, MD, A MEDICAL CORPORATION
Street 201 S BUENA VISTA ST #250
City BURBANK
State CA
ZIP 91505
Phone 818 562-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director MARK A. GERARD

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