05D2030464 CLIA NUMBER - JONATHAN CORREN, MD, INC

Laboratory Demographics

  • CLIA Code: 05D2030464
  • Facility Name: JONATHAN CORREN, MD, INC
  • Facility Address: 10780 SANTA MONICA BLVD STE 280
    LOS ANGELES, CA
    ZIP 90025
  • Facility Phone: 310 312-5050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN CORREN, MD
  • NPI Number: 1447360086
  • Taxonomy: 207KI0005X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 05D2030464
LAB Type Physician Office
Facility Name JONATHAN CORREN, MD, INC
Street 10780 SANTA MONICA BLVD STE 280
City LOS ANGELES
State CA
ZIP 90025
Phone 310 312-5050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Physician Office
Lab Director JONATHAN CORREN, MD

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