05D2212896 CLIA NUMBER - AJEETH, INC

Laboratory Demographics

  • CLIA Code: 05D2212896
  • Facility Name: AJEETH, INC
  • Facility Address: 28041 HAWTHORNE BLVD STE 211 & 210
    RANCHO PALOS VERDES, CA
    ZIP 90275
  • Facility Phone: 310 213-1772
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ROGER E. DER
  • NPI Number: 1417541350
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2212896
LAB Type Independent
Facility Name AJEETH, INC
Street 28041 HAWTHORNE BLVD STE 211 & 210
City RANCHO PALOS VERDES
State CA
ZIP 90275
Phone 310 213-1772
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Independent
Lab Director DR. ROGER E. DER

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