05D2016550 CLIA NUMBER - ISAAC GORBATY MD

Laboratory Demographics

  • CLIA Code: 05D2016550
  • Facility Name: ISAAC GORBATY MD
  • Facility Address: 18411 CLARK STREET # 206
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 818 708-3143
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISAAC GORBATY
  • NPI Number: 1477562718
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2016550
LAB Type Physician Office
Facility Name ISAAC GORBATY MD
Street 18411 CLARK STREET # 206
City TARZANA
State CA
ZIP 91356
Phone 818 708-3143
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Physician Office
Lab Director ISAAC GORBATY

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