05D2144083 CLIA NUMBER - PIVOTAL DIAGNOSTICS, LLC

Laboratory Demographics

  • CLIA Code: 05D2144083
  • Facility Name: PIVOTAL DIAGNOSTICS, LLC
  • Facility Address: 150 N. ROBERTSON BLVD #204
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 424 363-8378
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: JASMINE AHDOUT, MD
  • NPI Number: 1538678842
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2144083
LAB Type Independent
Facility Name PIVOTAL DIAGNOSTICS, LLC
Street 150 N. ROBERTSON BLVD #204
City BEVERLY HILLS
State CA
ZIP 90211
Phone 424 363-8378
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Independent
Lab Director JASMINE AHDOUT, MD

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