05D2075921 CLIA NUMBER - DR. RHEEM'S GASTROENTEROLOGY CLINIC

Laboratory Demographics

  • CLIA Code: 05D2075921
  • Facility Name: DR. RHEEM'S GASTROENTEROLOGY CLINIC
  • Facility Address: 505 S. VIRGIL AVE, SUITE 102
    LOS ANGELES, CA
    ZIP 90020
  • Facility Phone: 213 381-3630
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAE S. RHEEM, MD
  • NPI Number: 1942623160
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2075921
LAB Type Physician Office
Facility Name DR. RHEEM'S GASTROENTEROLOGY CLINIC
Street 505 S. VIRGIL AVE, SUITE 102
City LOS ANGELES
State CA
ZIP 90020
Phone 213 381-3630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Physician Office
Lab Director DAE S. RHEEM, MD

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