05D0541503 CLIA NUMBER - STEPHEN L BLAND MD INC

Laboratory Demographics

  • CLIA Code: 05D0541503
  • Facility Name: STEPHEN L BLAND MD INC
  • Facility Address: 1127 WILSHIRE BLVD SUITE #1010
    LOS ANGELES, CA
    ZIP 90017
  • Facility Phone: 213 977-0208
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN L. BLAND MD
  • NPI Number: 1821002627
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0541503
LAB Type Physician Office
Facility Name STEPHEN L BLAND MD INC
Street 1127 WILSHIRE BLVD SUITE #1010
City LOS ANGELES
State CA
ZIP 90017
Phone 213 977-0208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director STEPHEN L. BLAND MD

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This page was last updated on: 9/29/2025