05D2308930 CLIA NUMBER - ALLIANCE WELLNESS CARE

Laboratory Demographics

  • CLIA Code: 05D2308930
  • Facility Name: ALLIANCE WELLNESS CARE
  • Facility Address: 23388 MULHOLLAND DR
    WOODLAND HILLS, CA
    ZIP 91364
  • Facility Phone: 747 998-0382
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MITALI WADEKAR
  • NPI Number: 1831807692
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D2308930
LAB Type Physician Office
Facility Name ALLIANCE WELLNESS CARE
Street 23388 MULHOLLAND DR
City WOODLAND HILLS
State CA
ZIP 91364
Phone 747 998-0382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Physician Office
Lab Director MITALI WADEKAR

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