05D2160331 CLIA NUMBER - LAURI INJA AN MD

Laboratory Demographics

  • CLIA Code: 05D2160331
  • Facility Name: LAURI INJA AN MD
  • Facility Address: 2655 W OLYMPIC BLVD #207
    LOS ANGELES, CA
    ZIP 90006
  • Facility Phone: 213 388-7887
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURI A. AN
  • NPI Number: 1881131589
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2160331
LAB Type Physician Office
Facility Name LAURI INJA AN MD
Street 2655 W OLYMPIC BLVD #207
City LOS ANGELES
State CA
ZIP 90006
Phone 213 388-7887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Physician Office
Lab Director LAURI A. AN

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