05D2236262 CLIA NUMBER - AHPN GLENDALE - FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 05D2236262
  • Facility Name: AHPN GLENDALE - FAMILY MEDICINE
  • Facility Address: 1560 E CHEVY CHASE STE 355
    GLENDALE, CA
    ZIP 91206
  • Facility Phone: 747 212-3441
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SIRVARD KHANOYAN
  • NPI Number: 1548876626
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2236262
LAB Type Physician Office
Facility Name AHPN GLENDALE - FAMILY MEDICINE
Street 1560 E CHEVY CHASE STE 355
City GLENDALE
State CA
ZIP 91206
Phone 747 212-3441
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director SIRVARD KHANOYAN

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