Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
05D1088584
|
|
Clinical laboratory number
|
|
Lab Name
|
DAGMAR LIEPA, MD
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
818-904-9008
|
|
Laboratory telephone number
|
|
Fax
|
818-994-4491
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
14407 HAMLIN ST, STE A
|
|
Primary location adress line
|
|
City
|
VAN NUYS
|
|
Primary location city name
|
|
State
|
CA
|
|
Primary location state name
|
|
Zip
|
91401-6200
|
|
Primary location postal code
|