05D2245215 CLIA NUMBER - JONATHAN LARSON MD PC

Laboratory Demographics

  • CLIA Code: 05D2245215
  • Facility Name: JONATHAN LARSON MD PC
  • Facility Address: 3865 JASMINE AVE
    CULVER CITY, CA
    ZIP 90232
  • Facility Phone: 323 810-0475
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MARISSA LI
  • NPI Number: 1336504422
  • Taxonomy: 163WP0808X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 05D2245215
LAB Type Physician Office
Facility Name JONATHAN LARSON MD PC
Street 3865 JASMINE AVE
City CULVER CITY
State CA
ZIP 90232
Phone 323 810-0475
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Physician Office
Lab Director DR. MARISSA LI

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