05D2259479 CLIA NUMBER - MITCHELL C SHULTZ, MD

Laboratory Demographics

  • CLIA Code: 05D2259479
  • Facility Name: MITCHELL C SHULTZ, MD
  • Facility Address: 18350 ROSCOE BLVD SUITE 101
    NORTHRIDGE, CA
    ZIP 91325
  • Facility Phone: 818 349-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MITCHELL C. SHULTZ
  • NPI Number: 1427153022
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D2259479
LAB Type Physician Office
Facility Name MITCHELL C SHULTZ, MD
Street 18350 ROSCOE BLVD SUITE 101
City NORTHRIDGE
State CA
ZIP 91325
Phone 818 349-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Physician Office
Lab Director MITCHELL C. SHULTZ

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