05D2147937 CLIA NUMBER - ANGELA R ADELMAN MD, A PROFESSIONAL CORP

Laboratory Demographics

  • CLIA Code: 05D2147937
  • Facility Name: ANGELA R ADELMAN MD, A PROFESSIONAL CORP
  • Facility Address: 1624 WEST OLIVE AVE STE F
    BURBANK, CA
    ZIP 91506
  • Facility Phone: 818 846-7440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA ADELMAN, MD
  • NPI Number: 1548262017
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2147937
LAB Type Physician Office
Facility Name ANGELA R ADELMAN MD, A PROFESSIONAL CORP
Street 1624 WEST OLIVE AVE STE F
City BURBANK
State CA
ZIP 91506
Phone 818 846-7440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director ANGELA ADELMAN, MD

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