05D2267220 CLIA NUMBER - MANJUNATH VADMAL, MD

Laboratory Demographics

  • CLIA Code: 05D2267220
  • Facility Name: MANJUNATH VADMAL, MD
  • Facility Address: 2920 W OLIVE BLVD STE 212
    BURBANK, CA
    ZIP 91505
  • Facility Phone: 747 283-1444
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MANJUNATH VADMAL
  • NPI Number: 1043228083
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2267220
LAB Type Physician Office
Facility Name MANJUNATH VADMAL, MD
Street 2920 W OLIVE BLVD STE 212
City BURBANK
State CA
ZIP 91505
Phone 747 283-1444
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/22/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director MANJUNATH VADMAL

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