05D2093536 CLIA NUMBER - ASIF RAFI MD INC

Laboratory Demographics

  • CLIA Code: 05D2093536
  • Facility Name: ASIF RAFI MD INC
  • Facility Address: 11500 W OLYMPIC BLVD STE 626
    LOS ANGELES, CA
    ZIP 90064
  • Facility Phone: 424 256-2984
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASIF W. RAFI
  • NPI Number: 1073918769
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D2093536
LAB Type Physician Office
Facility Name ASIF RAFI MD INC
Street 11500 W OLYMPIC BLVD STE 626
City LOS ANGELES
State CA
ZIP 90064
Phone 424 256-2984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Physician Office
Lab Director ASIF W. RAFI

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