05D2074522 CLIA NUMBER - ADVENTIST HEALTH PHYSICIANS NETWORK

Laboratory Demographics

  • CLIA Code: 05D2074522
  • Facility Name: ADVENTIST HEALTH PHYSICIANS NETWORK
  • Facility Address: 544 N GLENDALE AVE
    GLENDALE, CA
    ZIP 91206
  • Facility Phone: 818 241-4331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID ORMEROD
  • NPI Number: 1518393008
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2074522
LAB Type Physician Office
Facility Name ADVENTIST HEALTH PHYSICIANS NETWORK
Street 544 N GLENDALE AVE
City GLENDALE
State CA
ZIP 91206
Phone 818 241-4331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Physician Office
Lab Director DAVID ORMEROD

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