05D2023762 CLIA NUMBER - PANACEA GROUP INC

Laboratory Demographics

  • CLIA Code: 05D2023762
  • Facility Name: PANACEA GROUP INC
  • Facility Address: 3786 LA CRESCENTA AVE STE 105
    GLENDALE, CA
    ZIP 91208
  • Facility Phone: 818 243-0010
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MICHEL ZAKARI
  • NPI Number: 1669791646
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2023762
LAB Type Home Health Agency
Facility Name PANACEA GROUP INC
Street 3786 LA CRESCENTA AVE STE 105
City GLENDALE
State CA
ZIP 91208
Phone 818 243-0010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Home Health Agency
Lab Director MICHEL ZAKARI

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