05D1030500 CLIA NUMBER - LORAINE V DIEGO

Laboratory Demographics

  • CLIA Code: 05D1030500
  • Facility Name: LORAINE V DIEGO
  • Facility Address: 1711 W TEMPLE ST STE 7643
    LOS ANGELES, CA
    ZIP 90026
  • Facility Phone: 213 388-2229
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORAINE V. DIEGO MD
  • NPI Number: 1386689453
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D1030500
LAB Type Physician Office
Facility Name LORAINE V DIEGO
Street 1711 W TEMPLE ST STE 7643
City LOS ANGELES
State CA
ZIP 90026
Phone 213 388-2229
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Physician Office
Lab Director LORAINE V. DIEGO MD

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