05D0704318 CLIA NUMBER - GEORGE U SUYAT MD MPH INC

Laboratory Demographics

  • CLIA Code: 05D0704318
  • Facility Name: GEORGE U SUYAT MD MPH INC
  • Facility Address: 2105 BEVERLY BLVD #131
    LOS ANGELES, CA
    ZIP 90057
  • Facility Phone: 213 413-8836
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE U. SUYAT
  • NPI Number: 1023047669
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0704318
LAB Type Physician Office
Facility Name GEORGE U SUYAT MD MPH INC
Street 2105 BEVERLY BLVD #131
City LOS ANGELES
State CA
ZIP 90057
Phone 213 413-8836
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 GEORGE U. SUYAT

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