05D2181736 CLIA NUMBER - DAVID J FUERST, M D INC

Laboratory Demographics

  • CLIA Code: 05D2181736
  • Facility Name: DAVID J FUERST, M D INC
  • Facility Address: 1808 VERDUGO BLVD SUITE 103
    GLENDALE, CA
    ZIP 91208
  • Facility Phone: 818 957-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID J. FUERST
  • NPI Number: 1538272000
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D2181736
LAB Type Physician Office
Facility Name DAVID J FUERST, M D INC
Street 1808 VERDUGO BLVD SUITE 103
City GLENDALE
State CA
ZIP 91208
Phone 818 957-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Physician Office
Lab Director DAVID J. FUERST

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