05D0864608 CLIA NUMBER - NARCISO AZURIN MD INC

Laboratory Demographics

  • CLIA Code: 05D0864608
  • Facility Name: NARCISO AZURIN MD INC
  • Facility Address: 4075 TWEEDY BLVD
    SOUTH GATE, CA
    ZIP 90280
  • Facility Phone: 213 566-4111
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NARCISO M. AZURIN
  • NPI Number: 1326132945
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0864608
LAB Type Physician Office
Facility Name NARCISO AZURIN MD INC
Street 4075 TWEEDY BLVD
City SOUTH GATE
State CA
ZIP 90280
Phone 213 566-4111
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director NARCISO M. AZURIN

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