05D1080648 CLIA NUMBER - CLEAR MEDICAL

Laboratory Demographics

  • CLIA Code: 05D1080648
  • Facility Name: CLEAR MEDICAL
  • Facility Address: 4560 ADMIRALTY WAY SUITE 200
    MARINA DEL REY, CA
    ZIP 90292
  • Facility Phone: 310 306-7100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAHRAM ABRISHAMY MD
  • NPI Number: 1942442066
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1080648
LAB Type Physician Office
Facility Name CLEAR MEDICAL
Street 4560 ADMIRALTY WAY SUITE 200
City MARINA DEL REY
State CA
ZIP 90292
Phone 310 306-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director SHAHRAM ABRISHAMY MD

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