05D2230616 CLIA NUMBER - DTLA GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 05D2230616
  • Facility Name: DTLA GYNECOLOGY
  • Facility Address: 1127 WILSHIRE BLVD SUITE 1202
    LOS ANGELES, CA
    ZIP 90017
  • Facility Phone: 213 476-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARAH YANAGUCHI
  • NPI Number: 1528673886
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2230616
LAB Type Physician Office
Facility Name DTLA GYNECOLOGY
Street 1127 WILSHIRE BLVD SUITE 1202
City LOS ANGELES
State CA
ZIP 90017
Phone 213 476-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Physician Office
Lab Director SARAH YANAGUCHI

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