05D2057512 CLIA NUMBER - Medicina Familiar

Laboratory Demographics

CLIA Number: 05D2057512

Facility Name: Medicina Familiar

Facility Address:
13500 Van Nuys Blvd,
Pacoima, CA
ZIP 91331
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Facility Phone Number: (818) 896-2999

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1609961648

Taxonomy: 208D00000X - General Practice

CLIA Record

Field Name Field Value
CLIA Number 05D2057512
LAB Type PHYSICIAN OFFICE
Facility Name Medicina Familiar
Street 13500 Van Nuys Blvd,
City Pacoima
State CA
ZIP 91331
Phone 8188962999

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