05D2230595 CLIA NUMBER - LAURI I AN MD, A MEDICAL CORP

Laboratory Demographics

CLIA Number: 05D2230595

Facility Name: LAURI I AN MD, A MEDICAL CORP

Facility Address:
2655 W OLYMPIC BLVD STE 207
LOS ANGELES, CA
ZIP 90006
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Facility Phone Number: 213 388-7887

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134168891

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2230595
LAB Type	Physician Office
Facility Name	LAURI I AN MD, A MEDICAL CORP
Street	2655 W OLYMPIC BLVD STE 207
City	LOS ANGELES
State	CA
ZIP	90006
Phone	213 388-7887
CertificateType	4
CertificateEffectiveDate	7/26/2023
CertificateExpirationDate	7/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024