05D2123396 CLIA NUMBER - STITCH, LLC

Laboratory Demographics

  • CLIA Code: 05D2123396
  • Facility Name: STITCH, LLC
  • Facility Address: 436 N. BEDFORD DR STE 206
    BEVERLY HILLS, CA
    ZIP 90210
  • Facility Phone: 310 853-5147
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAYMAN DANIELPOUR
  • NPI Number: 1669713970
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2123396
LAB Type Physician Office
Facility Name STITCH, LLC
Street 436 N. BEDFORD DR STE 206
City BEVERLY HILLS
State CA
ZIP 90210
Phone 310 853-5147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Physician Office
Lab Director PAYMAN DANIELPOUR

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