05D2070281 CLIA NUMBER - RAM DANDILLAYA M.D., INC.

Laboratory Demographics

  • CLIA Code: 05D2070281
  • Facility Name: RAM DANDILLAYA M.D., INC.
  • Facility Address: 150 N ROBERTSON BLVD STE 150
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 310 854-4995
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMPRASAD C. DANDILLAYA, M.D.,
  • NPI Number: 1720250103
  • Taxonomy: 207UN0901X - Nuclear Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2070281
LAB Type Physician Office
Facility Name RAM DANDILLAYA M.D., INC.
Street 150 N ROBERTSON BLVD STE 150
City BEVERLY HILLS
State CA
ZIP 90211
Phone 310 854-4995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director RAMPRASAD C. DANDILLAYA, M.D.,

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