05D2113980 CLIA NUMBER - THE RETINA PARTNERS

Laboratory Demographics

  • CLIA Code: 05D2113980
  • Facility Name: THE RETINA PARTNERS
  • Facility Address: 16500 VENTURA BLVD STE 250
    ENCINO, CA
    ZIP 91436
  • Facility Phone: 818 788-9333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT E. ENGSTROM
  • NPI Number: 1689945990
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D2113980
LAB Type Physician Office
Facility Name THE RETINA PARTNERS
Street 16500 VENTURA BLVD STE 250
City ENCINO
State CA
ZIP 91436
Phone 818 788-9333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Physician Office
Lab Director ROBERT E. ENGSTROM

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