05D1036762 CLIA NUMBER - PETER PARK MD INC DBA NEW SUNRISE CLINIC

Laboratory Demographics

  • CLIA Code: 05D1036762
  • Facility Name: PETER PARK MD INC DBA NEW SUNRISE CLINIC
  • Facility Address: 2600 W PICO BLVD STE 105
    LOS ANGELES, CA
    ZIP 90006
  • Facility Phone: 213 388-2772
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER T. ARAI MD
  • NPI Number: 1154465631
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1036762
LAB Type Physician Office
Facility Name PETER PARK MD INC DBA NEW SUNRISE CLINIC
Street 2600 W PICO BLVD STE 105
City LOS ANGELES
State CA
ZIP 90006
Phone 213 388-2772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director PETER T. ARAI MD

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