05D2057462 CLIA NUMBER - Medicina Familiar

Laboratory Demographics

CLIA Number: 05D2057462

Facility Name: Medicina Familiar

Facility Address:
20440 Sherman Way,
Canoga Park, CA
ZIP 91306
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Facility Phone Number: (818) 346-2395

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1437495462

Taxonomy: 208D00000X - General Practice

CLIA Record

Field Name Field Value
CLIA Number 05D2057462
LAB Type PHYSICIAN OFFICE
Facility Name Medicina Familiar
Street 20440 Sherman Way,
City Canoga Park
State CA
ZIP 91306
Phone 8183462395

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This page was last updated on: 5/19/2019