05D0970388 CLIA NUMBER - NIJOLE GLAZE MD

Laboratory Demographics

  • CLIA Code: 05D0970388
  • Facility Name: NIJOLE GLAZE MD
  • Facility Address: 3737 MARTIN LUTHER KING JR BLVD, STE 404
    LYNWOOD, CA
    ZIP 90262
  • Facility Phone: 310 608-3600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIJOLE GLAZE
  • NPI Number: 1356414262
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0970388
LAB Type Physician Office
Facility Name NIJOLE GLAZE MD
Street 3737 MARTIN LUTHER KING JR BLVD, STE 404
City LYNWOOD
State CA
ZIP 90262
Phone 310 608-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Physician Office
Lab Director NIJOLE GLAZE

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