05D0718409 CLIA NUMBER - SEMYON EMERT MD

Laboratory Demographics

  • CLIA Code: 05D0718409
  • Facility Name: SEMYON EMERT MD
  • Facility Address: 1417 1/2 N GARDNER ST
    WEST HOLLYWOOD, CA
    ZIP 90046
  • Facility Phone: 323 646-2506
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SEMYON EMERT
  • NPI Number: 1689775892
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0718409
LAB Type Physician Office
Facility Name SEMYON EMERT MD
Street 1417 1/2 N GARDNER ST
City WEST HOLLYWOOD
State CA
ZIP 90046
Phone 323 646-2506
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 SEMYON EMERT

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