05D2081567 CLIA NUMBER - MARK W VOGEL, MD

Laboratory Demographics

  • CLIA Code: 05D2081567
  • Facility Name: MARK W VOGEL, MD
  • Facility Address: 2080 CENTURY PARK EAST STE 1407
    LOS ANGELES, CA
    ZIP 90067
  • Facility Phone: 310 652-2973
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK W. VOGEL
  • NPI Number: 1578653457
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D2081567
LAB Type Physician Office
Facility Name MARK W VOGEL, MD
Street 2080 CENTURY PARK EAST STE 1407
City LOS ANGELES
State CA
ZIP 90067
Phone 310 652-2973
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director MARK W. VOGEL

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