05D0549285 CLIA NUMBER - THOMAS L JOHNSON JR MD

Laboratory Demographics

  • CLIA Code: 05D0549285
  • Facility Name: THOMAS L JOHNSON JR MD
  • Facility Address: 9100 S SEPULVEDA BLVD STE 121
    LOS ANGELES, CA
    ZIP 90045
  • Facility Phone: 310 674-6785
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THOMAS L. JOHNSON JR
  • NPI Number: 1881765584
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0549285
LAB Type Physician Office
Facility Name THOMAS L JOHNSON JR MD
Street 9100 S SEPULVEDA BLVD STE 121
City LOS ANGELES
State CA
ZIP 90045
Phone 310 674-6785
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director THOMAS L. JOHNSON JR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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