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LIFELINE MEDICAL LABORATORY INCORPORATED
NPI 1083189088
Clinical Medical Laboratory in North Hollywood, CA

Active since October 05, 2018CLIA 05D1039663 · Certificate of Compliance
10509 BURBANK BLVD, NORTH HOLLYWOOD, CA 91601(818) 579-4220(818) 301-1916 Get Directions Write a Review

NPPES record last updated: June 2, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 2, 2019, Oct 5, 2018 (2 updates tracked since 2018).

About Lifeline Medical Laboratory Incorporated NPPES

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

LIFELINE MEDICAL LABORATORY INCORPORATED (NPI 1083189088) is a healthcare organization registered as a clinical medical laboratory in North Hollywood, California and active in the NPI registry since October 2018. The organization holds a CLIA Certificate of Compliance certificate valid through October 20, 2027 and lists Juan Robles, Owner, as its authorized official.

NPPES Registry Identity

NPI1083189088
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLIFELINE MEDICAL LABORATORY INCORPORATED
Location Address10509 BURBANK BLVDNorth Hollywood, CA 91601-2219
Mailing Address10509 Burbank BlvdNorth Hollywood, CA 91601-2219 · (818) 579-4220 · Fax (818) 301-1916
Phone(818) 579-4220
Fax(818) 301-1916
Organization SubpartNo
Authorized OfficialJuan RoblesOwner · (818) 579-4220
Enumeration DateOctober 5, 2018
Last NPPES UpdateJune 2, 20192 updates tracked since enumeration
✔ NPI 1083189088 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.
10509 BURBANK BLVD, North Hollywood, CA 91601
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Other Identifiers 2

OtherCLF00333135CA · Clinical Laboratory License
OtherO5D1039663CA · Clia

CLIA Laboratory Certificates CMS CLIA

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 Compliance 05D1039663

Lifeline Medical Laboratory Inc · N Hollywood, CA
Active · expires Oct 20, 2027
CLIA Number05D1039663
Laboratory TypeIndependent
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorBenjamin Victor, MD
Laboratory Phone(818) 579-4220
Laboratory LocationLifeline Medical Laboratory Inc10509 Burbank Blvd, N Hollywood, CA 91601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 9

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.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
18,026 services8,363 patients
Urine potassium level 84133
A urine potassium level test measures the amount of potassium in your urine. Potassium is a key nutrient that helps your nerves and muscles function properly. Too much or too little can cause health issues. This test aids in diagnosing those conditions.
14,866 services7,279 patients
Urine sodium level 84300
A urine sodium level test measures the amount of sodium in your urine. Sodium is a key element that helps regulate water balance in your body. This test helps assess how your kidneys are functioning and can identify potential health issues.
14,864 services7,279 patients
Urine chloride level 82436
The urine chloride level test measures the amount of chloride in your urine. Chloride is a type of electrolyte that helps balance the amount of fluid in your body and maintain proper blood volume, blood pressure, and pH of your body fluids. This test helps identify any potential kidney or adrenal gland issues.
14,860 services7,279 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
14,488 services7,075 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
11,817 services6,019 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 Lifeline Medical Laboratory Incorporated's NPI number?

The NPI number for Lifeline Medical Laboratory Incorporated is 1083189088. It was assigned to this organization in the NPPES registry on October 5, 2018.

Where is Lifeline Medical Laboratory Incorporated located?

Lifeline Medical Laboratory Incorporated is located at 10509 Burbank Blvd, North Hollywood, CA 91601. The listed phone number is (818) 579-4220.

What is Lifeline Medical Laboratory Incorporated's specialty?

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

Does Lifeline Medical Laboratory Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D1039663) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifeline Medical Laboratory Incorporated was last updated on June 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.