05D2043973 CLIA NUMBER - BENDITO PEDIATRICS, INC.

Laboratory Demographics

  • CLIA Code: 05D2043973
  • Facility Name: BENDITO PEDIATRICS, INC.
  • Facility Address: 22030 SHERMAN WAY STE 210
    CANOGA PARK, CA
    ZIP 91303
  • Facility Phone: 818 618-3728
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHIOMA A. KALU
  • NPI Number: 1144596966
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2043973
LAB Type Physician Office
Facility Name BENDITO PEDIATRICS, INC.
Street 22030 SHERMAN WAY STE 210
City CANOGA PARK
State CA
ZIP 91303
Phone 818 618-3728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director CHIOMA A. KALU

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