05D1006726 CLIA NUMBER - ROBERTSON ADHC

Laboratory Demographics

  • CLIA Code: 05D1006726
  • Facility Name: ROBERTSON ADHC
  • Facility Address: 369 S ROBERTSON BLVD
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 310 289-7711
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LUDMILA AFONICHEVA
  • NPI Number: 1407950702
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1006726
LAB Type Ambulance
Facility Name ROBERTSON ADHC
Street 369 S ROBERTSON BLVD
City BEVERLY HILLS
State CA
ZIP 90211
Phone 310 289-7711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Ambulance
Lab Director LUDMILA AFONICHEVA

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