05D1085773 CLIA NUMBER - ABRAHAM ISHAAYA, MD, INC

Laboratory Demographics

  • CLIA Code: 05D1085773
  • Facility Name: ABRAHAM ISHAAYA, MD, INC
  • Facility Address: 9230 W OLYMPIC BLVD
    BEVERLY HILLS, CA
    ZIP 90212
  • Facility Phone: 909 630-3068
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ABRAHAM ISHAAYA
  • NPI Number: 1912959925
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1085773
LAB Type Physician Office
Facility Name ABRAHAM ISHAAYA, MD, INC
Street 9230 W OLYMPIC BLVD
City BEVERLY HILLS
State CA
ZIP 90212
Phone 909 630-3068
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/9/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director ABRAHAM ISHAAYA

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