05D2228431 CLIA NUMBER - CEDARS TOWER MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D2228431
  • Facility Name: CEDARS TOWER MEDICAL GROUP INC
  • Facility Address: 7119 1/2 SUNSET BLVD
    LOS ANGELES, CA
    ZIP 90046
  • Facility Phone: 323 606-3888
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RAMPRASAD C. DANDILLAYA
  • NPI Number: 1689939787
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 05D2228431
LAB Type Practitioner Other
Facility Name CEDARS TOWER MEDICAL GROUP INC
Street 7119 1/2 SUNSET BLVD
City LOS ANGELES
State CA
ZIP 90046
Phone 323 606-3888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Practitioner Other
Lab Director RAMPRASAD C. DANDILLAYA

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