05D2133502 CLIA NUMBER - ROY NINI MD, INC

Laboratory Demographics

  • CLIA Code: 05D2133502
  • Facility Name: ROY NINI MD, INC
  • Facility Address: 8436 W 3RD ST STE 800
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 855 906-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROY NINI MD
  • NPI Number: 1679633960
  • Taxonomy: 2081S0010X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 05D2133502
LAB Type Physician Office
Facility Name ROY NINI MD, INC
Street 8436 W 3RD ST STE 800
City LOS ANGELES
State CA
ZIP 90048
Phone 855 906-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Physician Office
Lab Director ROY NINI MD

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