05D0874395 CLIA NUMBER - MERCY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D0874395
  • Facility Name: MERCY MEDICAL CENTER
  • Facility Address: 16444 PARAMOUNT BLVD SUITE 103
    PARAMOUNT, CA
    ZIP 90723
  • Facility Phone: 310 531-7790
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD RIAZ MD
  • NPI Number: 1104014414
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0874395
LAB Type Physician Office
Facility Name MERCY MEDICAL CENTER
Street 16444 PARAMOUNT BLVD SUITE 103
City PARAMOUNT
State CA
ZIP 90723
Phone 310 531-7790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director MOHAMMAD RIAZ MD

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