05D0969906 CLIA NUMBER - SRIVIDYA VENKATARAMAN MD INC

Laboratory Demographics

  • CLIA Code: 05D0969906
  • Facility Name: SRIVIDYA VENKATARAMAN MD INC
  • Facility Address: 3816 WOODRUFF AVENUE, #407
    LONG BEACH, CA
    ZIP 90808
  • Facility Phone: 562 497-9314
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: SRIVIDYA VENKATARAMAN MD
  • NPI Number: 1063522217
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0969906
LAB Type Hospital
Facility Name SRIVIDYA VENKATARAMAN MD INC
Street 3816 WOODRUFF AVENUE, #407
City LONG BEACH
State CA
ZIP 90808
Phone 562 497-9314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Hospital
Lab Director SRIVIDYA VENKATARAMAN MD

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