05D2210083 CLIA NUMBER - PAYMAN R EMMANUEL MD INC

Laboratory Demographics

  • CLIA Code: 05D2210083
  • Facility Name: PAYMAN R EMMANUEL MD INC
  • Facility Address: 10750 WASHINGTON BLVD
    CULVER CITY, CA
    ZIP 90232
  • Facility Phone: 310 253-9999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EMMANUEL PAYMAN
  • NPI Number: 1831132422
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D2210083
LAB Type Physician Office
Facility Name PAYMAN R EMMANUEL MD INC
Street 10750 WASHINGTON BLVD
City CULVER CITY
State CA
ZIP 90232
Phone 310 253-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Physician Office
Lab Director EMMANUEL PAYMAN

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