05D1091642 CLIA NUMBER - WALTER F KERWIN, MD A MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D1091642
  • Facility Name: WALTER F KERWIN, MD A MEDICAL CORPORATION
  • Facility Address: 8631 W 3RD STREET STE 1017E
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 310 289-0141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WALTER F. KERWIN MD
  • NPI Number: 1457397556
  • Taxonomy: 207RC0001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1091642
LAB Type Physician Office
Facility Name WALTER F KERWIN, MD A MEDICAL CORPORATION
Street 8631 W 3RD STREET STE 1017E
City LOS ANGELES
State CA
ZIP 90048
Phone 310 289-0141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director WALTER F. KERWIN MD

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