05D2026479 CLIA NUMBER - NICHOLAS A ROGERS, MD INC

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Laboratory Demographics

CLIA Number: 05D2026479

Facility Name: NICHOLAS A ROGERS, MD INC

Facility Address:
1245 WILSHIRE BLVD, STE 916
LOS ANGELES, CA
ZIP 90017
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Facility Phone Number: 213 741-1220

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1124203583

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	05D2026479
LAB Type	Physician Office
Facility Name	NICHOLAS A ROGERS, MD INC
Street	1245 WILSHIRE BLVD, STE 916
City	LOS ANGELES
State	CA
ZIP	90017
Phone	213 741-1220
CertificateType	4
CertificateEffectiveDate	7/1/2023
CertificateExpirationDate	6/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024