05D1016627 CLIA NUMBER - LAUREL J SCHRAMM MD

Laboratory Demographics

  • CLIA Code: 05D1016627
  • Facility Name: LAUREL J SCHRAMM MD
  • Facility Address: 6310 SAN VICENTE BLVD STE 290
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 323 965-1616
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAUREL J. SCHRAMM MD
  • NPI Number: 1710101761
  • Taxonomy: 103TC1900X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 05D1016627
LAB Type Physician Office
Facility Name LAUREL J SCHRAMM MD
Street 6310 SAN VICENTE BLVD STE 290
City LOS ANGELES
State CA
ZIP 90048
Phone 323 965-1616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Physician Office
Lab Director LAUREL J. SCHRAMM MD

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