05D0545804 CLIA NUMBER - CENTER FOR MALE REPRODUCTIVE MEDICINE

Laboratory Demographics

  • CLIA Code: 05D0545804
  • Facility Name: CENTER FOR MALE REPRODUCTIVE MEDICINE
  • Facility Address: 2080 CENTURY PK E 907
    LOS ANGELES, CA
    ZIP 90067
  • Facility Phone: 310 277-2873
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: PHILLIP WERTHMAN
  • NPI Number: 1154486678
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 05D0545804
LAB Type Physician Office
Facility Name CENTER FOR MALE REPRODUCTIVE MEDICINE
Street 2080 CENTURY PK E 907
City LOS ANGELES
State CA
ZIP 90067
Phone 310 277-2873
Certificate Type Certificate of Accreditation
Certificate Type Description 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 Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Physician Office
Lab Director PHILLIP WERTHMAN

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