05D2070582 CLIA NUMBER - REGINA L. EDMOND, MD INC

Laboratory Demographics

  • CLIA Code: 05D2070582
  • Facility Name: REGINA L. EDMOND, MD INC
  • Facility Address: 8737 BEVERLY BLVD 201
    WEST HOLLYWOOD, CA
    ZIP 90048
  • Facility Phone: 310 659-4564
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REGINA L. EDMOND, MD
  • NPI Number: 1902120231
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2070582
LAB Type Physician Office
Facility Name REGINA L. EDMOND, MD INC
Street 8737 BEVERLY BLVD 201
City WEST HOLLYWOOD
State CA
ZIP 90048
Phone 310 659-4564
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Physician Office
Lab Director REGINA L. EDMOND, MD

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