05D0711802 CLIA NUMBER - PETER B SHIN MD INC

Laboratory Demographics

  • CLIA Code: 05D0711802
  • Facility Name: PETER B SHIN MD INC
  • Facility Address: 2780 SKYPARK DR SUITE 200
    TORRANCE, CA
    ZIP 90505
  • Facility Phone: 310 326-2161
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER B. SHIN MD
  • NPI Number: 1770590655
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0711802
LAB Type Physician Office
Facility Name PETER B SHIN MD INC
Street 2780 SKYPARK DR SUITE 200
City TORRANCE
State CA
ZIP 90505
Phone 310 326-2161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director PETER B. SHIN MD

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