05D2315673 CLIA NUMBER - MEDICAL ELECTRONIC SYSTEMS

Laboratory Demographics

  • CLIA Code: 05D2315673
  • Facility Name: MEDICAL ELECTRONIC SYSTEMS
  • Facility Address: 6345 BALBOA BLVD STE 185
    ENCINO, CA
    ZIP 91316
  • Facility Phone: 310 670-9066
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: WILLIAM E. ROUDEBUSH
  • NPI Number: 1215625231
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 05D2315673
LAB Type Independent
Facility Name MEDICAL ELECTRONIC SYSTEMS
Street 6345 BALBOA BLVD STE 185
City ENCINO
State CA
ZIP 91316
Phone 310 670-9066
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Independent
Lab Director WILLIAM E. ROUDEBUSH

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