05D2226685 CLIA NUMBER - NEW SCHRYVER LLC DBA TRIDENTCARE

Laboratory Demographics

  • CLIA Code: 05D2226685
  • Facility Name: NEW SCHRYVER LLC DBA TRIDENTCARE
  • Facility Address: 12612 RAYMER ST
    NORTH HOLLYWOOD, CA
    ZIP 91605
  • Facility Phone: 972 468-3500
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: NABIL S. HALIM
  • NPI Number: 1548422488
  • Taxonomy: 2085U0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 05D2226685
LAB Type Independent
Facility Name NEW SCHRYVER LLC DBA TRIDENTCARE
Street 12612 RAYMER ST
City NORTH HOLLYWOOD
State CA
ZIP 91605
Phone 972 468-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Independent
Lab Director NABIL S. HALIM

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