05D2066961 CLIA NUMBER - WILLIAM Y JOSEPHSON MD INC

Laboratory Demographics

  • CLIA Code: 05D2066961
  • Facility Name: WILLIAM Y JOSEPHSON MD INC
  • Facility Address: 17075 DEVONSHIRE ST STE 100A
    NORTHRIDGE, CA
    ZIP 91325
  • Facility Phone: 818 360-4600
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: WILLIAM JOSEPHSON, MD
  • NPI Number: 1376647651
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2066961
LAB Type Practitioner Other
Facility Name WILLIAM Y JOSEPHSON MD INC
Street 17075 DEVONSHIRE ST STE 100A
City NORTHRIDGE
State CA
ZIP 91325
Phone 818 360-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Practitioner Other
Lab Director WILLIAM JOSEPHSON, MD

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