05D2005807 CLIA NUMBER - SYLVAN MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D2005807
  • Facility Name: SYLVAN MEDICAL CENTER
  • Facility Address: 4312 WOODMAN AVE STE 101
    SHERMAN OAKS, CA
    ZIP 91423
  • Facility Phone: 818 988-4088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BAHMAN OMRANI
  • NPI Number: 1649582826
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2005807
LAB Type Physician Office
Facility Name SYLVAN MEDICAL CENTER
Street 4312 WOODMAN AVE STE 101
City SHERMAN OAKS
State CA
ZIP 91423
Phone 818 988-4088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director BAHMAN OMRANI

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