05D2273895 CLIA NUMBER - DIAZ MEDICAL GROUP, INC

Laboratory Demographics

  • CLIA Code: 05D2273895
  • Facility Name: DIAZ MEDICAL GROUP, INC
  • Facility Address: 14550 ARCHWOOD ST STE B
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 818 851-5540
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN ROSENBLATT
  • NPI Number: 1669139945
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2273895
LAB Type Physician Office
Facility Name DIAZ MEDICAL GROUP, INC
Street 14550 ARCHWOOD ST STE B
City VAN NUYS
State CA
ZIP 91405
Phone 818 851-5540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Physician Office
Lab Director STEVEN ROSENBLATT

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