05D2297659 CLIA NUMBER - FERRUCCI OPTOMETRIC CORPORATION

Laboratory Demographics

  • CLIA Code: 05D2297659
  • Facility Name: FERRUCCI OPTOMETRIC CORPORATION
  • Facility Address: 4100 W. ALAMEDA AVE
    BURBANK, CA
    ZIP 91505
  • Facility Phone: 818 841-1212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VANESSA FERRUCCI
  • NPI Number: 1215393863
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 05D2297659
LAB Type Physician Office
Facility Name FERRUCCI OPTOMETRIC CORPORATION
Street 4100 W. ALAMEDA AVE
City BURBANK
State CA
ZIP 91505
Phone 818 841-1212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director VANESSA FERRUCCI

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