05D0553599 CLIA NUMBER - LORI R KRIEGER, MD INC

Laboratory Demographics

  • CLIA Code: 05D0553599
  • Facility Name: LORI R KRIEGER, MD INC
  • Facility Address: 1360 W 6TH ST, STE 300
    SAN PEDRO, CA
    ZIP 90732
  • Facility Phone: 310 514-0838
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORI R. KRIEGER
  • NPI Number: 1740539048
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0553599
LAB Type Physician Office
Facility Name LORI R KRIEGER, MD INC
Street 1360 W 6TH ST, STE 300
City SAN PEDRO
State CA
ZIP 90732
Phone 310 514-0838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/25/2023
Certificate Expiration Date 12/24/2025
Facility Type Physician Office
Lab Director LORI R. KRIEGER

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