05D0977169 CLIA NUMBER - JULIO GUZMAN MD

Laboratory Demographics

  • CLIA Code: 05D0977169
  • Facility Name: JULIO GUZMAN MD
  • Facility Address: 4214 W BEVERLY BLVD SUITE 212
    LOS ANGELES, CA
    ZIP 90004
  • Facility Phone: 213 484-2570
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIO GUZMAN MD
  • NPI Number: 1184653628
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0977169
LAB Type Physician Office
Facility Name JULIO GUZMAN MD
Street 4214 W BEVERLY BLVD SUITE 212
City LOS ANGELES
State CA
ZIP 90004
Phone 213 484-2570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director JULIO GUZMAN MD

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