05D0714179 CLIA NUMBER - GARDENA MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0714179
  • Facility Name: GARDENA MEDICAL GROUP
  • Facility Address: 1146 W REDONDO BEACH BLVD
    GARDENA, CA
    ZIP 90247
  • Facility Phone: 310 323-9999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAN M. KAHEN
  • NPI Number: 1003851320
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0714179
LAB Type Physician Office
Facility Name GARDENA MEDICAL GROUP
Street 1146 W REDONDO BEACH BLVD
City GARDENA
State CA
ZIP 90247
Phone 310 323-9999
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 DAN M. KAHEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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