05D2149131 CLIA NUMBER - TAYLOR PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 05D2149131
  • Facility Name: TAYLOR PEDIATRICS INC
  • Facility Address: 3605 ALAMO STREET SUITE 101
    SIMI VALLEY, CA
    ZIP 93065
  • Facility Phone: 805 522-6577
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHARON G. TAYLOR MD
  • NPI Number: 1962920553
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2149131
LAB Type Physician Office
Facility Name TAYLOR PEDIATRICS INC
Street 3605 ALAMO STREET SUITE 101
City SIMI VALLEY
State CA
ZIP 93065
Phone 805 522-6577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Physician Office
Lab Director SHARON G. TAYLOR MD

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