05D2084024 CLIA NUMBER - JOSE M MEDRANO MD PC

Laboratory Demographics

  • CLIA Code: 05D2084024
  • Facility Name: JOSE M MEDRANO MD PC
  • Facility Address: 2211 W MAGNOLIA BLVD STE 250
    BURBANK, CA
    ZIP 91506
  • Facility Phone: 818 566-1490
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE M. MEDRANO
  • NPI Number: 1710199526
  • Taxonomy: 207VH0002X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2084024
LAB Type Physician Office
Facility Name JOSE M MEDRANO MD PC
Street 2211 W MAGNOLIA BLVD STE 250
City BURBANK
State CA
ZIP 91506
Phone 818 566-1490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director JOSE M. MEDRANO

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