05D0726254 CLIA NUMBER - LOGHMAN ABDIAN MD

Laboratory Demographics

  • CLIA Code: 05D0726254
  • Facility Name: LOGHMAN ABDIAN MD
  • Facility Address: 1107 S ALVARADO ST STE 102
    LOS ANGELES, CA
    ZIP 90006
  • Facility Phone: 213 380-9999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOGHMAN ABDIAN
  • NPI Number: 1356554802
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0726254
LAB Type Physician Office
Facility Name LOGHMAN ABDIAN MD
Street 1107 S ALVARADO ST STE 102
City LOS ANGELES
State CA
ZIP 90006
Phone 213 380-9999
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 LOGHMAN ABDIAN

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