05D2122160 CLIA NUMBER - VELOCITY CLINICAL RESEARCH, VAN NUYS

Laboratory Demographics

  • CLIA Code: 05D2122160
  • Facility Name: VELOCITY CLINICAL RESEARCH, VAN NUYS
  • Facility Address: 1211 VANOWEN ST SUITE 100
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 818 532-6880
  • Facility Type: Other - CLINICAL RESEARCH SITE
  • Facility Type: Waiver
  • Lab Director: ROBERT A. JENDERS
  • NPI Number: 1891740254
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 05D2122160
LAB Type Other - CLINICAL RESEARCH SITE
Facility Name VELOCITY CLINICAL RESEARCH, VAN NUYS
Street 1211 VANOWEN ST SUITE 100
City VAN NUYS
State CA
ZIP 91405
Phone 818 532-6880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Other - CLINICAL RESEARCH SITE
Lab Director ROBERT A. JENDERS

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