05D1076005 CLIA NUMBER - RON P GALLEMORE MD DBA RETINA MACULA INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D1076005
  • Facility Name: RON P GALLEMORE MD DBA RETINA MACULA INSTITUTE
  • Facility Address: 4201 TORRANCE BLVD STE 220
    TORRANCE, CA
    ZIP 90503
  • Facility Phone: 310 944-9393
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RON P. GALLEMORE MD
  • NPI Number: 1912968496
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D1076005
LAB Type Physician Office
Facility Name RON P GALLEMORE MD DBA RETINA MACULA INSTITUTE
Street 4201 TORRANCE BLVD STE 220
City TORRANCE
State CA
ZIP 90503
Phone 310 944-9393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director RON P. GALLEMORE MD

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