05D2226685 CLIA NUMBER - NEW SCHRYVER LLC

Laboratory Demographics

CLIA Number: 05D2226685

Facility Name: NEW SCHRYVER LLC

Facility Address:
15200 STAGG ST
VAN NUYS, CA
ZIP 91405
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Facility Phone Number: 972 468-3583

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1548422488

Taxonomy: 2085U0001X - Radiology
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

CLIA Record

Field Name Field Value
CLIA Number 05D2226685
LAB Type Independent
Facility Name NEW SCHRYVER LLC
Street 15200 STAGG ST
City VAN NUYS
State CA
ZIP 91405
Phone 972 468-3583
CertificateType 4
CertificateEffectiveDate 6/2/2023
CertificateExpirationDate 6/1/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024