EPICWAVE LABORATORY
NPI 1023765385
Clinical Medical Laboratory in Van Nuys, CA

Active since March 07, 2022CLIA Certified · 2 labs
16114 SHERMAN WAY, VAN NUYS, CA 91406(800) 961-6747 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2024, Feb 8, 2024, Oct 24, 2022 and 2 more (5 updates tracked since 2022).

About Epicwave Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EPICWAVE LABORATORY (NPI 1023765385) is a healthcare organization registered as a clinical medical laboratory in Van Nuys, California and active in the NPI registry since March 2022. The organization holds 2 active CLIA laboratory certificates and lists Marc Benedict Enriquez Bernaldez, Owner, as its authorized official.

NPPES Registry Identity

NPI1023765385
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameEPICWAVE LABORATORY LLC
Location Address16114 SHERMAN WAYVan Nuys, CA 91406-3907
Mailing Address16114 Sherman WayVan Nuys, CA 91406-3907 · (800) 961-6747
Organization SubpartNo
Authorized OfficialMarc Benedict Enriquez BernaldezOwner · (800) 961-6747
Enumeration DateMarch 7, 2022
Last NPPES UpdateAugust 9, 20245 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
NPI 1023765385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
16114 SHERMAN WAY, Van Nuys, CA 91406

Other Names 1

Doing Business AsEpicwave Laboratory

Other Identifiers 4

Other05D2308399Clia
OtherCLR-90006743CA · Laboratory License
Other05D2262840Clia
OtherCDF-90013520CA · Laboratory License

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D2308399

Epicwave Laboratory · Van Nuys, CA
Active · expires Dec 30, 2026
CLIA Number05D2308399
Laboratory TypePhysician Office
Certificate Effective DateDecember 31, 2024
Certificate Expiration DateDecember 30, 2026
Laboratory DirectorDr. Mir H. Noorbakhsh
Laboratory Phone(818) 687-6653
Laboratory LocationEpicwave Laboratory16114 Sherman Way, Van Nuys, CA 91406
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 05D2269177

Epicwave Laboratory - Mobile Vin Wa1laage9nb007889 · Van Nuys, CA
Active · expires Sep 20, 2026
CLIA Number05D2269177
Laboratory TypeMobile Laboratory
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorMarc Benedict E. Bernaldez
Laboratory Phone(800) 961-7647
Laboratory LocationEpicwave Laboratory - Mobile Vin Wa1laage9nb00788915243 Vanowen St Suite 108, Van Nuys, CA 91405
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled P9603
This service covers travel costs for healthcare professionals to collect necessary lab specimens from patients who are homebound or in nursing homes. The allowance is calculated based on the actual miles traveled to perform this service.
37,668 services285 patients
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) G0471
This procedure involves obtaining a blood sample from a vein (venipuncture) or a urine sample via a tube (catheterization). It's performed in a skilled nursing facility or by a lab for a home health agency. This helps in diagnosing and monitoring health conditions.
699 services320 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
600 services309 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
469 services266 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
163 services133 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
119 services61 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Epicwave Laboratory LLC's NPI number?

The NPI number for Epicwave Laboratory LLC is 1023765385. It was assigned to this organization in the NPPES registry on March 7, 2022. The provider is doing business as Epicwave Laboratory.

Where is Epicwave Laboratory LLC located?

Epicwave Laboratory LLC is located at 16114 Sherman Way, Van Nuys, CA 91406. The listed phone number is (800) 961-6747.

What is Epicwave Laboratory LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Epicwave Laboratory LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Epicwave Laboratory LLC was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.