05D2314757 CLIA NUMBER - CANBY COMMUNITY CLINIC, INC

Laboratory Demographics

  • CLIA Code: 05D2314757
  • Facility Name: CANBY COMMUNITY CLINIC, INC
  • Facility Address: 7601 CANBY AVE UNIT 6B
    RESEDA, CA
    ZIP 91335
  • Facility Phone: 818 383-9383
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KEVIN GALSTYAN
  • NPI Number: 1518686377
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2314757
LAB Type Community Clinic
Facility Name CANBY COMMUNITY CLINIC, INC
Street 7601 CANBY AVE UNIT 6B
City RESEDA
State CA
ZIP 91335
Phone 818 383-9383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Community Clinic
Lab Director KEVIN GALSTYAN

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