05D2304915 CLIA NUMBER - ALLIANCE FOR WELLNESS INC

Laboratory Demographics

  • CLIA Code: 05D2304915
  • Facility Name: ALLIANCE FOR WELLNESS INC
  • Facility Address: 16260 VENTURA BLVD STE 630
    ENCINO, CA
    ZIP 91436
  • Facility Phone: 747 264-9201
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANIL SHARMA
  • NPI Number: 1124329131
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D2304915
LAB Type Physician Office
Facility Name ALLIANCE FOR WELLNESS INC
Street 16260 VENTURA BLVD STE 630
City ENCINO
State CA
ZIP 91436
Phone 747 264-9201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Physician Office
Lab Director ANIL SHARMA

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