05D1024798 CLIA NUMBER - SAN CRISTOBAL MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D1024798
  • Facility Name: SAN CRISTOBAL MEDICAL GROUP
  • Facility Address: 2010 WILSHIRE BLVD STE 400
    LOS ANGELES, CA
    ZIP 90057
  • Facility Phone: 213 413-4203
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PARVIZ BABALAVI
  • NPI Number: 1972553493
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1024798
LAB Type Physician Office
Facility Name SAN CRISTOBAL MEDICAL GROUP
Street 2010 WILSHIRE BLVD STE 400
City LOS ANGELES
State CA
ZIP 90057
Phone 213 413-4203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director PARVIZ BABALAVI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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