05D2091687 CLIA NUMBER - ADVENTIST HEALTH PHYSICIANS NETWORK - MONTROSE

Laboratory Demographics

  • CLIA Code: 05D2091687
  • Facility Name: ADVENTIST HEALTH PHYSICIANS NETWORK - MONTROSE
  • Facility Address: 1975 VERDUGO BLVD, STE A
    LA CANADA, CA
    ZIP 91011
  • Facility Phone: 818 249-9454
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DMITRIY GEN
  • NPI Number: 1003217654
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2091687
LAB Type Physician Office
Facility Name ADVENTIST HEALTH PHYSICIANS NETWORK - MONTROSE
Street 1975 VERDUGO BLVD, STE A
City LA CANADA
State CA
ZIP 91011
Phone 818 249-9454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Physician Office
Lab Director DMITRIY GEN

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