05D0553046 CLIA NUMBER - EVA B RODRIGUEZ-ELLIS MD INC

Laboratory Demographics

  • CLIA Code: 05D0553046
  • Facility Name: EVA B RODRIGUEZ-ELLIS MD INC
  • Facility Address: 1403 WEST LOMITA BOULEVARD #305
    HARBOR CITY, CA
    ZIP 90710
  • Facility Phone: 310 325-4344
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH OVANDO
  • NPI Number: 1639266141
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0553046
LAB Type Physician Office
Facility Name EVA B RODRIGUEZ-ELLIS MD INC
Street 1403 WEST LOMITA BOULEVARD #305
City HARBOR CITY
State CA
ZIP 90710
Phone 310 325-4344
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 ELIZABETH OVANDO

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