05D0876249 CLIA NUMBER - ELEANOR V AZURIN MD INC

Laboratory Demographics

  • CLIA Code: 05D0876249
  • Facility Name: ELEANOR V AZURIN MD INC
  • Facility Address: 3045 E FLORENCE AVENUE
    HUNTINGTON PARK, CA
    ZIP 90255
  • Facility Phone: 323 587-7771
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELEANOR AZURIN MD
  • NPI Number: 1053582171
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0876249
LAB Type Physician Office
Facility Name ELEANOR V AZURIN MD INC
Street 3045 E FLORENCE AVENUE
City HUNTINGTON PARK
State CA
ZIP 90255
Phone 323 587-7771
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director ELEANOR AZURIN MD

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