05D2121032 CLIA NUMBER - GEORGE C. IN, MD, INC

Laboratory Demographics

  • CLIA Code: 05D2121032
  • Facility Name: GEORGE C. IN, MD, INC
  • Facility Address: 500 S VIRGIL AVE STE 501
    LOS ANGELES, CA
    ZIP 90020
  • Facility Phone: 323 735-7700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE C. IN, MD
  • NPI Number: 1023117553
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2121032
LAB Type Physician Office
Facility Name GEORGE C. IN, MD, INC
Street 500 S VIRGIL AVE STE 501
City LOS ANGELES
State CA
ZIP 90020
Phone 323 735-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Physician Office
Lab Director GEORGE C. IN, MD

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