05D2161760 CLIA NUMBER - ADVENTIST HEALTH PHYSICIANS NETWORK FOOTHILL SPECIALISTS

Laboratory Demographics

  • CLIA Code: 05D2161760
  • Facility Name: ADVENTIST HEALTH PHYSICIANS NETWORK FOOTHILL SPECIALISTS
  • Facility Address: 1560 EAST CHEVY CHADE DRIVE SUITE 430
    GLENDALE, CA
    ZIP 91206
  • Facility Phone: 818 243-1135
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIMITRY GEN
  • NPI Number: 1316327182
  • Taxonomy: 2086S0129X - Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2161760
LAB Type Physician Office
Facility Name ADVENTIST HEALTH PHYSICIANS NETWORK FOOTHILL SPECIALISTS
Street 1560 EAST CHEVY CHADE DRIVE SUITE 430
City GLENDALE
State CA
ZIP 91206
Phone 818 243-1135
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director DIMITRY GEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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