05D2132913 CLIA NUMBER - EVOLVE HEALTHCARE

Laboratory Demographics

  • CLIA Code: 05D2132913
  • Facility Name: EVOLVE HEALTHCARE
  • Facility Address: 20301 VENTURA BLVD STE 210
    WOODLAND HILLS, CA
    ZIP 91364
  • Facility Phone: 818 346-4300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: IGOR G. SHLIFER
  • NPI Number: 1043761166
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2132913
LAB Type Physician Office
Facility Name EVOLVE HEALTHCARE
Street 20301 VENTURA BLVD STE 210
City WOODLAND HILLS
State CA
ZIP 91364
Phone 818 346-4300
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Physician Office
Lab Director IGOR G. SHLIFER

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