05D2160078 CLIA NUMBER - FIRST AID URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2160078
  • Facility Name: FIRST AID URGENT CARE
  • Facility Address: 9064 VAN NUYS BLVD
    PANORAMA CITY, CA
    ZIP 91402
  • Facility Phone: 626 791-9004
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAXWELL DARTNEY
  • NPI Number: 1760889190
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2160078
LAB Type Physician Office
Facility Name FIRST AID URGENT CARE
Street 9064 VAN NUYS BLVD
City PANORAMA CITY
State CA
ZIP 91402
Phone 626 791-9004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director MAXWELL DARTNEY

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