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

Laboratory Demographics

  • CLIA Code: 05D2230595
  • Facility Name: LAURI I AN MD, A MEDICAL CORP
  • Facility Address: 2655 W OLYMPIC BLVD STE 207
    LOS ANGELES, CA
    ZIP 90006
  • Facility Phone: 213 388-7887
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURI AN
  • NPI Number: 1134168891
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Physician Office
Lab Director LAURI AN

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