05D2259843 CLIA NUMBER - VANITY WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 05D2259843
  • Facility Name: VANITY WELLNESS CENTER
  • Facility Address: 19935 VENTURA BLVD SUITE 1
    WOODLAND HILLS, CA
    ZIP 91364
  • Facility Phone: 818 454-5112
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: ADNAN KHOURY
  • NPI Number: 1609476845
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2259843
LAB Type Independent
Facility Name VANITY WELLNESS CENTER
Street 19935 VENTURA BLVD SUITE 1
City WOODLAND HILLS
State CA
ZIP 91364
Phone 818 454-5112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Independent
Lab Director ADNAN KHOURY

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