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FQHCLA482 NOALAB CLINIC INC (Active)
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Main Details
Name
NOALAB CLINIC INC
Subdivision Name
Noalab Community Healthcare - Coldwater Canyon
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-039530
340B ID
FQHCLA482
Grant Number
LALCS54729
Additional Details
Current Program Status
Active
Registration Date
1/3/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/6/2025
Last Recertification Date
Contacts
Authorizing Official
Noalab Clinic Inc.
Lukash Abrahamyan, CEO
(818) 648-0044
Primary Contact
Noalab Clinic Inc.
Hayk Avalayan, Administrator
(818) 641-8583
Addresses
Street Address
6428 Coldwater Canyon Ave
North Hollywood, CA 91606-1113
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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