05D2089592 CLIA NUMBER - LAYNE KUMETZ MD INC

Laboratory Demographics

  • CLIA Code: 05D2089592
  • Facility Name: LAYNE KUMETZ MD INC
  • Facility Address: 6330 SAN VICENTE BLVD STE 300
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 323 634-9996
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAYNE KUMETZ
  • NPI Number: 1053609438
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2089592
LAB Type Physician Office
Facility Name LAYNE KUMETZ MD INC
Street 6330 SAN VICENTE BLVD STE 300
City LOS ANGELES
State CA
ZIP 90048
Phone 323 634-9996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Physician Office
Lab Director LAYNE KUMETZ

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