05D2293490 CLIA NUMBER - ELITE CBAS CENTER, INC.

Laboratory Demographics

  • CLIA Code: 05D2293490
  • Facility Name: ELITE CBAS CENTER, INC.
  • Facility Address: 12825 VANOWEN ST
    NORTH HOLLYWOOD, CA
    ZIP 91605
  • Facility Phone: 818 927-4344
  • Facility Type: Other - COMMUNITY BASED ADULT SER
  • Facility Type: Waiver
  • Lab Director: PEDRAM SHIRZAD
  • NPI Number: 1154839264
  • Taxonomy: 261QA0600X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2293490
LAB Type Other - COMMUNITY BASED ADULT SER
Facility Name ELITE CBAS CENTER, INC.
Street 12825 VANOWEN ST
City NORTH HOLLYWOOD
State CA
ZIP 91605
Phone 818 927-4344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Other - COMMUNITY BASED ADULT SER
Lab Director PEDRAM SHIRZAD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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