05D2311475 CLIA NUMBER - LA INTEGRATIVE NURSING INC

Laboratory Demographics

  • CLIA Code: 05D2311475
  • Facility Name: LA INTEGRATIVE NURSING INC
  • Facility Address: 710 S CENTRAL AVE STE 240
    GLENDALE, CA
    ZIP 91204
  • Facility Phone: 747 777-7047
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLA HAMMOND
  • NPI Number: 1083464994
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D2311475
LAB Type Physician Office
Facility Name LA INTEGRATIVE NURSING INC
Street 710 S CENTRAL AVE STE 240
City GLENDALE
State CA
ZIP 91204
Phone 747 777-7047
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director CARLA HAMMOND

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