05D2301593 CLIA NUMBER - FOREVER YOUNG CBAS

Laboratory Demographics

  • CLIA Code: 05D2301593
  • Facility Name: FOREVER YOUNG CBAS
  • Facility Address: 8265 FOOTHILL BLVD
    SUNLAND, CA
    ZIP 91040
  • Facility Phone: 747 777-7780
  • Facility Type: Other - ADHC/CBAS
  • Facility Type: Waiver
  • Lab Director: ARMINE NAZARYAN
  • NPI Number: 1326714775
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2301593
LAB Type Other - ADHC/CBAS
Facility Name FOREVER YOUNG CBAS
Street 8265 FOOTHILL BLVD
City SUNLAND
State CA
ZIP 91040
Phone 747 777-7780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Other - ADHC/CBAS
Lab Director ARMINE NAZARYAN

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