05D2050635 CLIA NUMBER - JOSIF BOROVIC MD INC

Laboratory Demographics

  • CLIA Code: 05D2050635
  • Facility Name: JOSIF BOROVIC MD INC
  • Facility Address: 1701 E CESAR CHAVEZ AVE STE 545
    LOS ANGELES, CA
    ZIP 90033
  • Facility Phone: 323 352-8529
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSIF BOROVIC
  • NPI Number: 1114936390
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2050635
LAB Type Physician Office
Facility Name JOSIF BOROVIC MD INC
Street 1701 E CESAR CHAVEZ AVE STE 545
City LOS ANGELES
State CA
ZIP 90033
Phone 323 352-8529
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Physician Office
Lab Director JOSIF BOROVIC

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