05D1072814 CLIA NUMBER - THOMAS J CACHUR JR OFFICE

Laboratory Demographics

  • CLIA Code: 05D1072814
  • Facility Name: THOMAS J CACHUR JR OFFICE
  • Facility Address: 1513 S GRAND AVE STE 320
    LOS ANGELES, CA
    ZIP 90015
  • Facility Phone: 213 747-7307
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THOMAS J. CACHUR JR MD
  • NPI Number: 1225037047
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D1072814
LAB Type Physician Office
Facility Name THOMAS J CACHUR JR OFFICE
Street 1513 S GRAND AVE STE 320
City LOS ANGELES
State CA
ZIP 90015
Phone 213 747-7307
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 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director THOMAS J. CACHUR JR MD

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