05D2115345 CLIA NUMBER - WESTERN FERTILITY INSTITUTE

Laboratory Demographics

CLIA Number: 05D2115345

Facility Name: WESTERN FERTILITY INSTITUTE

Facility Address:
16260 VENTURA BLVD, STE 210
ENCINO, CA
ZIP 91436
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Facility Phone Number: 818 292-2242

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1205287364

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	05D2115345
LAB Type	Physician Office
Facility Name	WESTERN FERTILITY INSTITUTE
Street	16260 VENTURA BLVD, STE 210
City	ENCINO
State	CA
ZIP	91436
Phone	818 292-2242
CertificateType	1
CertificateEffectiveDate	8/22/2022
CertificateExpirationDate	8/21/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024