05D2190153 CLIA NUMBER - SEQUOIA QUALITY HEALTH INC

Laboratory Demographics

  • CLIA Code: 05D2190153
  • Facility Name: SEQUOIA QUALITY HEALTH INC
  • Facility Address: 2007 WILSHIRE BLVD 3RD FLOOR
    LOS ANGELES, CA
    ZIP 90057
  • Facility Phone: 213 205-1890
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENJAMIN B. PEZESHKI
  • NPI Number: 1164061461
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2190153
LAB Type Physician Office
Facility Name SEQUOIA QUALITY HEALTH INC
Street 2007 WILSHIRE BLVD 3RD FLOOR
City LOS ANGELES
State CA
ZIP 90057
Phone 213 205-1890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director BENJAMIN B. PEZESHKI

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