05D2117561 CLIA NUMBER - GENNADY RUBINSTEIN MD INC

Laboratory Demographics

  • CLIA Code: 05D2117561
  • Facility Name: GENNADY RUBINSTEIN MD INC
  • Facility Address: 135 MACAW LN, STE 200
    SIMI VALLEY, CA
    ZIP 93065
  • Facility Phone: 818 505-9300
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: GENNADY RUBINSTEIN MD
  • NPI Number: 1720083744
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2117561
LAB Type Physician Office
Facility Name GENNADY RUBINSTEIN MD INC
Street 135 MACAW LN, STE 200
City SIMI VALLEY
State CA
ZIP 93065
Phone 818 505-9300
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Physician Office
Lab Director GENNADY RUBINSTEIN MD

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