05D1092623 CLIA NUMBER - ARMEN HOVHANNISYAN, MD GRP INC

Laboratory Demographics

  • CLIA Code: 05D1092623
  • Facility Name: ARMEN HOVHANNISYAN, MD GRP INC
  • Facility Address: 8444 CRENSHAW BLVD
    INGLEWOOD, CA
    ZIP 90305
  • Facility Phone: 310 342-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARMEN HOVHANNISYAN, MD
  • NPI Number: 1740488998
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1092623
LAB Type Physician Office
Facility Name ARMEN HOVHANNISYAN, MD GRP INC
Street 8444 CRENSHAW BLVD
City INGLEWOOD
State CA
ZIP 90305
Phone 310 342-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director ARMEN HOVHANNISYAN, MD

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