05D0719528 CLIA NUMBER - IRA R BRAVERMAN MD INC

Laboratory Demographics

  • CLIA Code: 05D0719528
  • Facility Name: IRA R BRAVERMAN MD INC
  • Facility Address: 610 EUCLID AVE STE 201
    NATIONAL CITY, CA
    ZIP 91950
  • Facility Phone: 619 267-8181
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRA R. BRAVERMAN
  • NPI Number: 1124039755
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0719528
LAB Type Physician Office
Facility Name IRA R BRAVERMAN MD INC
Street 610 EUCLID AVE STE 201
City NATIONAL CITY
State CA
ZIP 91950
Phone 619 267-8181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Physician Office
Lab Director IRA R. BRAVERMAN

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