05D2305836 CLIA NUMBER - EVERSIDE HEALTH LANCASTER

Laboratory Demographics

  • CLIA Code: 05D2305836
  • Facility Name: EVERSIDE HEALTH LANCASTER
  • Facility Address: 1629 WEST AVENUE J SUITE 106
    LANCASTER, CA
    ZIP 93534
  • Facility Phone: 661 310-3757
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN M. LANDSBERG
  • NPI Number: 1427829555
  • Taxonomy: 2083P0500X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2305836
LAB Type Physician Office
Facility Name EVERSIDE HEALTH LANCASTER
Street 1629 WEST AVENUE J SUITE 106
City LANCASTER
State CA
ZIP 93534
Phone 661 310-3757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Physician Office
Lab Director JOHN M. LANDSBERG

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