05D0985806 CLIA NUMBER - SARAH S OLELEWE MD INC

Laboratory Demographics

  • CLIA Code: 05D0985806
  • Facility Name: SARAH S OLELEWE MD INC
  • Facility Address: 11712 S HAWTHORNE BLVD
    HAWTHORNE, CA
    ZIP 90250
  • Facility Phone: 310 679-9293
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARAH S. OLELEWE MD
  • NPI Number: 1689754665
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0985806
LAB Type Physician Office
Facility Name SARAH S OLELEWE MD INC
Street 11712 S HAWTHORNE BLVD
City HAWTHORNE
State CA
ZIP 90250
Phone 310 679-9293
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director SARAH S. OLELEWE MD

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