05D2024919 CLIA NUMBER - CALIFORNIA CHEST AND MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D2024919
  • Facility Name: CALIFORNIA CHEST AND MEDICAL CENTER
  • Facility Address: 2625 W ALAMEDA AVE STE 506
    BURBANK, CA
    ZIP 91505
  • Facility Phone: 818 843-5864
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATEL MAYUR
  • NPI Number: 1225378078
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2024919
LAB Type Physician Office
Facility Name CALIFORNIA CHEST AND MEDICAL CENTER
Street 2625 W ALAMEDA AVE STE 506
City BURBANK
State CA
ZIP 91505
Phone 818 843-5864
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Physician Office
Lab Director PATEL MAYUR

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