05D2312956 CLIA NUMBER - RICHARD ALAN SHAPIRO MD INC

Laboratory Demographics

  • CLIA Code: 05D2312956
  • Facility Name: RICHARD ALAN SHAPIRO MD INC
  • Facility Address: 18344 CLARK STREET, SUITE 208
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 818 996-4242
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD ALAN SHAPIRO
  • NPI Number: 1306686654
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D2312956
LAB Type Physician Office
Facility Name RICHARD ALAN SHAPIRO MD INC
Street 18344 CLARK STREET, SUITE 208
City TARZANA
State CA
ZIP 91356
Phone 818 996-4242
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director RICHARD ALAN SHAPIRO

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