05D2193916 CLIA NUMBER - APEX MULTISPECIALTY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2193916
  • Facility Name: APEX MULTISPECIALTY MEDICAL GROUP
  • Facility Address: 600 S SAN VICENTE BLVD
    LOS ANGELES, CA
    ZIP 90046
  • Facility Phone: 310 873-3312
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL E. LING
  • NPI Number: 1023672367
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2193916
LAB Type Physician Office
Facility Name APEX MULTISPECIALTY MEDICAL GROUP
Street 600 S SAN VICENTE BLVD
City LOS ANGELES
State CA
ZIP 90046
Phone 310 873-3312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Physician Office
Lab Director DANIEL E. LING

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This page was last updated on: 6/4/2025