05D2322399 CLIA NUMBER - NPMD

Laboratory Demographics

  • CLIA Code: 05D2322399
  • Facility Name: NPMD
  • Facility Address: 16101 VENTUA BLVD SUITE 300
    ENCINO, CA
    ZIP 91436
  • Facility Phone: 818 533-8393
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN CARNEY
  • NPI Number: 1235743881
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2322399
LAB Type Physician Office
Facility Name NPMD
Street 16101 VENTUA BLVD SUITE 300
City ENCINO
State CA
ZIP 91436
Phone 818 533-8393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director STEPHEN CARNEY

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