05D2248812 CLIA NUMBER - GENESIS COMPREHENSIVE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2248812
  • Facility Name: GENESIS COMPREHENSIVE MEDICAL GROUP
  • Facility Address: 191 S BUENA VISTA ST #335
    BURBANK, CA
    ZIP 91505
  • Facility Phone: 818 561-4733
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAMRON HAKHAMIMI
  • NPI Number: 1023559697
  • Taxonomy: 207QA0401X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2248812
LAB Type Physician Office
Facility Name GENESIS COMPREHENSIVE MEDICAL GROUP
Street 191 S BUENA VISTA ST #335
City BURBANK
State CA
ZIP 91505
Phone 818 561-4733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director KAMRON HAKHAMIMI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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