05D2022822 CLIA NUMBER - VIDA FAMILY PRACTICE, PC

Laboratory Demographics

  • CLIA Code: 05D2022822
  • Facility Name: VIDA FAMILY PRACTICE, PC
  • Facility Address: 435 ARDEN AVE STE 330
    GLENDALE, CA
    ZIP 91203
  • Facility Phone: 818 548-8001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIGEN V. ABOVIAN
  • NPI Number: 1245549443
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2022822
LAB Type Physician Office
Facility Name VIDA FAMILY PRACTICE, PC
Street 435 ARDEN AVE STE 330
City GLENDALE
State CA
ZIP 91203
Phone 818 548-8001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director VIGEN V. ABOVIAN

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