05D2319541 CLIA NUMBER - MKHITARYAN MEDICAL CORP

Laboratory Demographics

  • CLIA Code: 05D2319541
  • Facility Name: MKHITARYAN MEDICAL CORP
  • Facility Address: 1030 S GLENDALE AVE STE 307
    GLENDALE, CA
    ZIP 91205
  • Facility Phone: 747 215-6144
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VAHE MKHITRYAN
  • NPI Number: 1659145746
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2319541
LAB Type Physician Office
Facility Name MKHITARYAN MEDICAL CORP
Street 1030 S GLENDALE AVE STE 307
City GLENDALE
State CA
ZIP 91205
Phone 747 215-6144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director VAHE MKHITRYAN

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