05D2186396 CLIA NUMBER - SEPER DEZFOLI LABORATORIES

Laboratory Demographics

  • CLIA Code: 05D2186396
  • Facility Name: SEPER DEZFOLI LABORATORIES
  • Facility Address: 3816 WOODRUFF AVE STE 411
    LONG BEACH, CA
    ZIP 90808
  • Facility Phone: 562 257-6110
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SEPER DEZFOLI
  • NPI Number: 1649756164
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2186396
LAB Type Physician Office
Facility Name SEPER DEZFOLI LABORATORIES
Street 3816 WOODRUFF AVE STE 411
City LONG BEACH
State CA
ZIP 90808
Phone 562 257-6110
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/28/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director SEPER DEZFOLI

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