05D2165562 CLIA NUMBER - THRIVE MEDICAL, INC

Laboratory Demographics

  • CLIA Code: 05D2165562
  • Facility Name: THRIVE MEDICAL, INC
  • Facility Address: 18740 VENTURA BLVD STE 100
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 818 692-0023
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. HOOMAN J. NAZAR
  • NPI Number: 1659919660
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2165562
LAB Type Physician Office
Facility Name THRIVE MEDICAL, INC
Street 18740 VENTURA BLVD STE 100
City TARZANA
State CA
ZIP 91356
Phone 818 692-0023
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director DR. HOOMAN J. NAZAR

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