05D2015968 CLIA NUMBER - LILIT BALTAIAN, MD INC

Laboratory Demographics

  • CLIA Code: 05D2015968
  • Facility Name: LILIT BALTAIAN, MD INC
  • Facility Address: 7412 FOOTHILL BLVD
    TUJUNGA, CA
    ZIP 91042
  • Facility Phone: 818 353-1512
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LILIT BALTAIAN, MD
  • NPI Number: 1154552305
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2015968
LAB Type Physician Office
Facility Name LILIT BALTAIAN, MD INC
Street 7412 FOOTHILL BLVD
City TUJUNGA
State CA
ZIP 91042
Phone 818 353-1512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Physician Office
Lab Director LILIT BALTAIAN, MD

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