05D2045534 CLIA NUMBER - EDMOND MELIKTERMINAS MD INC

Laboratory Demographics

  • CLIA Code: 05D2045534
  • Facility Name: EDMOND MELIKTERMINAS MD INC
  • Facility Address: 303 S GLENOAKS BLVD STE 1
    BURBANK, CA
    ZIP 91502
  • Facility Phone: 818 331-7687
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDMOND MELIKTERMINAS
  • NPI Number: 1871723676
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2045534
LAB Type Physician Office
Facility Name EDMOND MELIKTERMINAS MD INC
Street 303 S GLENOAKS BLVD STE 1
City BURBANK
State CA
ZIP 91502
Phone 818 331-7687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director EDMOND MELIKTERMINAS

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