05D2297073 CLIA NUMBER - MARIYA A ZAKIUDDUN, MD, A MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2297073
  • Facility Name: MARIYA A ZAKIUDDUN, MD, A MEDICAL CORPORATION
  • Facility Address: 500 E OLIVE AVE STE 240
    BURBANK, CA
    ZIP 91501
  • Facility Phone: 818 391-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIYA ZAKIUDDIN
  • NPI Number: 1871948638
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2297073
LAB Type Physician Office
Facility Name MARIYA A ZAKIUDDUN, MD, A MEDICAL CORPORATION
Street 500 E OLIVE AVE STE 240
City BURBANK
State CA
ZIP 91501
Phone 818 391-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Physician Office
Lab Director MARIYA ZAKIUDDIN

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