05D2174369 CLIA NUMBER - SAN FERNANDO PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D2174369
  • Facility Name: SAN FERNANDO PEDIATRICS
  • Facility Address: 107 NORTH MACLAY AVENUE
    SAN FERNANDO, CA
    ZIP 91340
  • Facility Phone: 818 697-8585
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALI ANARI
  • NPI Number: 1396399986
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2174369
LAB Type Physician Office
Facility Name SAN FERNANDO PEDIATRICS
Street 107 NORTH MACLAY AVENUE
City SAN FERNANDO
State CA
ZIP 91340
Phone 818 697-8585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Physician Office
Lab Director ALI ANARI

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