05D2264050 CLIA NUMBER - MYMD URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2264050
  • Facility Name: MYMD URGENT CARE
  • Facility Address: 8815 PICO BLVD
    LOS ANGELES, CA
    ZIP 90035
  • Facility Phone: 714 514-2269
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: JONATHAN SHALOM
  • NPI Number: 1841922648
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2264050
LAB Type Other - URGENT CARE
Facility Name MYMD URGENT CARE
Street 8815 PICO BLVD
City LOS ANGELES
State CA
ZIP 90035
Phone 714 514-2269
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Other - URGENT CARE
Lab Director JONATHAN SHALOM

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