05D2211584 CLIA NUMBER - VICTORIA DANHAKL MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2211584
  • Facility Name: VICTORIA DANHAKL MEDICAL CORPORATION
  • Facility Address: 769 ALMAR AVE
    PACIFIC PALISADES, CA
    ZIP 90272
  • Facility Phone: 310 993-2553
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: VICTORIA L. DANHAKL
  • NPI Number: 1780901322
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 05D2211584
LAB Type Mobile Laboratory
Facility Name VICTORIA DANHAKL MEDICAL CORPORATION
Street 769 ALMAR AVE
City PACIFIC PALISADES
State CA
ZIP 90272
Phone 310 993-2553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Mobile Laboratory
Lab Director VICTORIA L. DANHAKL

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