05D2174490 CLIA NUMBER - UNIVERSITY DERMATOPATHOLOGY SERVICES INC

Laboratory Demographics

  • CLIA Code: 05D2174490
  • Facility Name: UNIVERSITY DERMATOPATHOLOGY SERVICES INC
  • Facility Address: 2220 N. SCREENLAND DR STE 102
    BURBANK, CA
    ZIP 91505
  • Facility Phone: 323 935-8800
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MANJUNATH S. VADMAL
  • NPI Number: 1881641314
  • Taxonomy: 207ZD0900X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 05D2174490
LAB Type Independent
Facility Name UNIVERSITY DERMATOPATHOLOGY SERVICES INC
Street 2220 N. SCREENLAND DR STE 102
City BURBANK
State CA
ZIP 91505
Phone 323 935-8800
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/18/2023
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director DR. MANJUNATH S. VADMAL

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