05D2191143 CLIA NUMBER - PATEX LAB, INC

Laboratory Demographics

  • CLIA Code: 05D2191143
  • Facility Name: PATEX LAB, INC
  • Facility Address: 6450 BELLINGHAM AVE STE D
    NORTH HOLLYWOOD, CA
    ZIP 91606
  • Facility Phone: 818 762-2635
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL MAYMIND
  • NPI Number: 1316551229
  • Taxonomy: 207ZP0105X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 05D2191143
LAB Type Independent
Facility Name PATEX LAB, INC
Street 6450 BELLINGHAM AVE STE D
City NORTH HOLLYWOOD
State CA
ZIP 91606
Phone 818 762-2635
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 10/25/2022
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director MICHAEL MAYMIND

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