05D2033847 CLIA NUMBER - ROY D AYALON, MD INC

Laboratory Demographics

  • CLIA Code: 05D2033847
  • Facility Name: ROY D AYALON, MD INC
  • Facility Address: 18411 CLARK ST STE 107
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 818 654-9312
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROY AYALON
  • NPI Number: 1154599546
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2033847
LAB Type Physician Office
Facility Name ROY D AYALON, MD INC
Street 18411 CLARK ST STE 107
City TARZANA
State CA
ZIP 91356
Phone 818 654-9312
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director ROY AYALON

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