05D1007582 CLIA NUMBER - ABRAHAM GOLBARI MD

Laboratory Demographics

  • CLIA Code: 05D1007582
  • Facility Name: ABRAHAM GOLBARI MD
  • Facility Address: 14030 CRENSHAW BLVD
    GARDENA, CA
    ZIP 90249
  • Facility Phone: 310 327-8746
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABRAHAM GOLBARI MD
  • NPI Number: 1639216468
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1007582
LAB Type Physician Office
Facility Name ABRAHAM GOLBARI MD
Street 14030 CRENSHAW BLVD
City GARDENA
State CA
ZIP 90249
Phone 310 327-8746
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Physician Office
Lab Director ABRAHAM GOLBARI MD

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