05D0553098 CLIA NUMBER - JOEL D EPSTEIN, MD A PROF CORP DBA SOUTHERN CALIFORNIA CLINICAL TRIALS

Laboratory Demographics

  • CLIA Code: 05D0553098
  • Facility Name: JOEL D EPSTEIN, MD A PROF CORP DBA SOUTHERN CALIFORNIA CLINICAL TRIALS
  • Facility Address: 3650 E SOUTH ST 308
    LAKEWOOD, CA
    ZIP 90712
  • Facility Phone: 562 633-2815
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOEL D. ESPTEIN, MD
  • NPI Number: 1013037779
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0553098
LAB Type Physician Office
Facility Name JOEL D EPSTEIN, MD A PROF CORP DBA SOUTHERN CALIFORNIA CLINICAL TRIALS
Street 3650 E SOUTH ST 308
City LAKEWOOD
State CA
ZIP 90712
Phone 562 633-2815
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Physician Office
Lab Director JOEL D. ESPTEIN, MD

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