05D2144600 CLIA NUMBER - WESTERN PACIFIC MED CORP

Laboratory Demographics

  • CLIA Code: 05D2144600
  • Facility Name: WESTERN PACIFIC MED CORP
  • Facility Address: 4838 LAUREL CANYON BLVD
    NORTH HOLLYWOOD, CA
    ZIP 91607
  • Facility Phone: 818 956-3737
  • Facility Type: Other - NARCOTIC TREATMNT PROGRAM
  • Facility Type: Waiver
  • Lab Director: DAVID A. SAMI, MD
  • NPI Number: 1871932764
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2144600
LAB Type Other - NARCOTIC TREATMNT PROGRAM
Facility Name WESTERN PACIFIC MED CORP
Street 4838 LAUREL CANYON BLVD
City NORTH HOLLYWOOD
State CA
ZIP 91607
Phone 818 956-3737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Other - NARCOTIC TREATMNT PROGRAM
Lab Director DAVID A. SAMI, MD

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