05D1046793 CLIA NUMBER - PETER J RUANE, MD INC

Laboratory Demographics

  • CLIA Code: 05D1046793
  • Facility Name: PETER J RUANE, MD INC
  • Facility Address: 5901 W OLYMPIC BLVD, SUITE 401
    LOS ANGELES, CA
    ZIP 90036
  • Facility Phone: 323 954-1072
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PETER J. RUANE, MD
  • NPI Number: 1467640953
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1046793
LAB Type Physician Office
Facility Name PETER J RUANE, MD INC
Street 5901 W OLYMPIC BLVD, SUITE 401
City LOS ANGELES
State CA
ZIP 90036
Phone 323 954-1072
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director PETER J. RUANE, MD

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