05D1004143 CLIA NUMBER - MARINA RAIKHEL MD

Laboratory Demographics

  • CLIA Code: 05D1004143
  • Facility Name: MARINA RAIKHEL MD
  • Facility Address: 25043 NARBONNE AVE
    LOMITA, CA
    ZIP 90717
  • Facility Phone: 310 373-8120
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MARINA RAIKHEL MD
  • NPI Number: 1073792446
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1004143
LAB Type Community Clinic
Facility Name MARINA RAIKHEL MD
Street 25043 NARBONNE AVE
City LOMITA
State CA
ZIP 90717
Phone 310 373-8120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Community Clinic
Lab Director MARINA RAIKHEL MD

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