05D0547893 CLIA NUMBER - KHALID B KHAN, MD, INC

Laboratory Demographics

  • CLIA Code: 05D0547893
  • Facility Name: KHALID B KHAN, MD, INC
  • Facility Address: 13425 INGLEWOOD AVE
    HAWTHORNE, CA
    ZIP 90250
  • Facility Phone: 310 679-2201
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KHALID B. KHAN MD
  • NPI Number: 1063440840
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0547893
LAB Type Physician Office
Facility Name KHALID B KHAN, MD, INC
Street 13425 INGLEWOOD AVE
City HAWTHORNE
State CA
ZIP 90250
Phone 310 679-2201
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 KHALID B. KHAN MD

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