05D2143969 CLIA NUMBER - SAMEH SHENOUDA, MD INC

Laboratory Demographics

CLIA Number: 05D2143969

Facility Name: SAMEH SHENOUDA, MD INC

Facility Address:
7963 VAN NUYS BLVD STE 101
PANORAMA CITY, CA
ZIP 91402
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Facility Phone Number: 818 988-9818

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487936902

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	05D2143969
LAB Type	Physician Office
Facility Name	SAMEH SHENOUDA, MD INC
Street	7963 VAN NUYS BLVD STE 101
City	PANORAMA CITY
State	CA
ZIP	91402
Phone	818 988-9818
CertificateType	4
CertificateEffectiveDate	2/8/2024
CertificateExpirationDate	2/7/2026
FacilityType	Waiver

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