05D2187462 CLIA NUMBER - GURMU OCCMED SERVICES INC

Laboratory Demographics

  • CLIA Code: 05D2187462
  • Facility Name: GURMU OCCMED SERVICES INC
  • Facility Address: 2500 WEST FLORENCE AVE
    LOS ANGELES, CA
    ZIP 90043
  • Facility Phone: 323 750-2083
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DABI JONKE GURMU
  • NPI Number: 1184285827
  • Taxonomy: 2083X0100X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2187462
LAB Type Physician Office
Facility Name GURMU OCCMED SERVICES INC
Street 2500 WEST FLORENCE AVE
City LOS ANGELES
State CA
ZIP 90043
Phone 323 750-2083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director DABI JONKE GURMU

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