05D2074597 CLIA NUMBER - OCEAN FRONT URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2074597
  • Facility Name: OCEAN FRONT URGENT CARE
  • Facility Address: 31236 PALOS VERDES DR WEST
    RANCHO PALOS VERDES, CA
    ZIP 90275
  • Facility Phone: 310 544-2121
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: MOSTAFA S. RAHIMI MD
  • NPI Number: 1619244993
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2074597
LAB Type Other - URGENT CARE
Facility Name OCEAN FRONT URGENT CARE
Street 31236 PALOS VERDES DR WEST
City RANCHO PALOS VERDES
State CA
ZIP 90275
Phone 310 544-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Other - URGENT CARE
Lab Director MOSTAFA S. RAHIMI MD

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