05D0705682 CLIA NUMBER - TORRANCE MEMORIAL PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 05D0705682
  • Facility Name: TORRANCE MEMORIAL PHYSICIAN NETWORK
  • Facility Address: 3333 SKYPARK DRIVE, SUITE 100
    TORRANCE, CA
    ZIP 90505
  • Facility Phone: 310 784-6300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT GLAZER
  • NPI Number: 1891978136
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0705682
LAB Type Physician Office
Facility Name TORRANCE MEMORIAL PHYSICIAN NETWORK
Street 3333 SKYPARK DRIVE, SUITE 100
City TORRANCE
State CA
ZIP 90505
Phone 310 784-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Physician Office
Lab Director ROBERT GLAZER

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