05D2326241 CLIA NUMBER - INFUSION FOR HEALTH

Laboratory Demographics

  • CLIA Code: 05D2326241
  • Facility Name: INFUSION FOR HEALTH
  • Facility Address: 5620 WILBUR AVE SUITE 310
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 747 318-0950
  • Facility Type: Other - AMBULATORY INFUSION CNTR
  • Facility Type: Waiver
  • Lab Director: FREDERICK DIETERICH
  • NPI Number: 1508262213
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2326241
LAB Type Other - AMBULATORY INFUSION CNTR
Facility Name INFUSION FOR HEALTH
Street 5620 WILBUR AVE SUITE 310
City TARZANA
State CA
ZIP 91356
Phone 747 318-0950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Other - AMBULATORY INFUSION CNTR
Lab Director FREDERICK DIETERICH

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