05D2011034 CLIA NUMBER - SHELDON E JORDAN MD INC

Laboratory Demographics

  • CLIA Code: 05D2011034
  • Facility Name: SHELDON E JORDAN MD INC
  • Facility Address: 2811 WILSHIRE BLVD STE 790
    SANTA MONICA, CA
    ZIP 90403
  • Facility Phone: 310 829-5968
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHELDON E. JORDAN
  • NPI Number: 1316941305
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2011034
LAB Type Physician Office
Facility Name SHELDON E JORDAN MD INC
Street 2811 WILSHIRE BLVD STE 790
City SANTA MONICA
State CA
ZIP 90403
Phone 310 829-5968
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director SHELDON E. JORDAN

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