05D2269339 CLIA NUMBER - KENNETH KLEINMAN MD INC

Laboratory Demographics

  • CLIA Code: 05D2269339
  • Facility Name: KENNETH KLEINMAN MD INC
  • Facility Address: 5525 ETIWANDA AVE STE 312
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 818 300-0081
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH S. KLEINMAN
  • NPI Number: 1689605941
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D2269339
LAB Type Physician Office
Facility Name KENNETH KLEINMAN MD INC
Street 5525 ETIWANDA AVE STE 312
City TARZANA
State CA
ZIP 91356
Phone 818 300-0081
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director KENNETH S. KLEINMAN

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