05D1079605 CLIA NUMBER - GWEN KLYMAN FRIEND MD INC DBA CHILDREN'S MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D1079605
  • Facility Name: GWEN KLYMAN FRIEND MD INC DBA CHILDREN'S MEDICAL GROUP
  • Facility Address: 3440 LOMITA BLVD SUITE 352
    TORRANCE, CA
    ZIP 90505
  • Facility Phone: 310 539-2445
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA SERGIS
  • NPI Number: 1851492896
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1079605
LAB Type Physician Office
Facility Name GWEN KLYMAN FRIEND MD INC DBA CHILDREN'S MEDICAL GROUP
Street 3440 LOMITA BLVD SUITE 352
City TORRANCE
State CA
ZIP 90505
Phone 310 539-2445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director LAURA SERGIS

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This page was last updated on: 6/4/2025