05D0946916 CLIA NUMBER - DEAN FERDOWS, MD

Laboratory Demographics

  • CLIA Code: 05D0946916
  • Facility Name: DEAN FERDOWS, MD
  • Facility Address: 4316 EAST SLAUSON AVENUE
    MAYWOOD, CA
    ZIP 90270
  • Facility Phone: 323 773-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEAN FERDOWS
  • NPI Number: 1679587091
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0946916
LAB Type Physician Office
Facility Name DEAN FERDOWS, MD
Street 4316 EAST SLAUSON AVENUE
City MAYWOOD
State CA
ZIP 90270
Phone 323 773-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director DEAN FERDOWS

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