05D2047629 CLIA NUMBER - ADVENTIST HEALTH PHYSICIANS NETWORK

Laboratory Demographics

  • CLIA Code: 05D2047629
  • Facility Name: ADVENTIST HEALTH PHYSICIANS NETWORK
  • Facility Address: 1975 VERDUGO BLVD
    LA CANADA, CA
    ZIP 91011
  • Facility Phone: 818 637-7980
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SERENA TU
  • NPI Number: 1427310648
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2047629
LAB Type Physician Office
Facility Name ADVENTIST HEALTH PHYSICIANS NETWORK
Street 1975 VERDUGO BLVD
City LA CANADA
State CA
ZIP 91011
Phone 818 637-7980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Physician Office
Lab Director SERENA TU

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