CLIA lab

CLIA 05D1091384: Gor Agababian, MD

Glendale, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D1091384 belongs to Gor Agababian, MD in Glendale, CA.

Certificate of Waiver, effective October 30, 2024, expires October 29, 2026.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
October 30, 2024
Certificate expiration
October 29, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 30, 2008
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D1091384
Lab name
Gor Agababian, MD
Additional name
DBA Agababian Medical Clinic
Address
6608 San Fernando Rd, Glendale, CA 91201
Phone
(818) 246-1824
Fax
(818) 246-1886

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Gor Agababian, MD in Glendale?

05D1091384, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Gor Agababian, MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D1091384 expire?

The CMS file lists October 29, 2026 as the certificate expiration date; the certificate took effect October 30, 2024.

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