05D2193097 CLIA NUMBER - AFFORDABLE URGENT CARE, INC

Laboratory Demographics

  • CLIA Code: 05D2193097
  • Facility Name: AFFORDABLE URGENT CARE, INC
  • Facility Address: 21300 SHERMAN WAY STE 3
    CANOGA PARK, CA
    ZIP 91303
  • Facility Phone: 818 835-9039
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD PARK
  • NPI Number: 1992330690
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2193097
LAB Type Physician Office
Facility Name AFFORDABLE URGENT CARE, INC
Street 21300 SHERMAN WAY STE 3
City CANOGA PARK
State CA
ZIP 91303
Phone 818 835-9039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director RICHARD PARK

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