05D2131370 CLIA NUMBER - ADVANCED RETINA ASSOCIATES MED. GROUP

Laboratory Demographics

  • CLIA Code: 05D2131370
  • Facility Name: ADVANCED RETINA ASSOCIATES MED. GROUP
  • Facility Address: 17750 SHERMAN WAY STE 100
    RESEDA, CA
    ZIP 91335
  • Facility Phone: 818 886-6700
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SANJAY LOGANI, MD
  • NPI Number: 1376163337
  • Taxonomy: 261QS0132X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2131370
LAB Type Practitioner Other
Facility Name ADVANCED RETINA ASSOCIATES MED. GROUP
Street 17750 SHERMAN WAY STE 100
City RESEDA
State CA
ZIP 91335
Phone 818 886-6700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Practitioner Other
Lab Director SANJAY LOGANI, MD

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