05D2267219 CLIA NUMBER - JASON B DIAMOND MD INC

Laboratory Demographics

  • CLIA Code: 05D2267219
  • Facility Name: JASON B DIAMOND MD INC
  • Facility Address: 9400 BRIGHTON WAY PH STE
    BEVERLY HILLS, CA
    ZIP 90210
  • Facility Phone: 310 859-9816
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON B. DIAMOND
  • NPI Number: 1306981519
  • Taxonomy: 2082S0099X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2267219
LAB Type Physician Office
Facility Name JASON B DIAMOND MD INC
Street 9400 BRIGHTON WAY PH STE
City BEVERLY HILLS
State CA
ZIP 90210
Phone 310 859-9816
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director JASON B. DIAMOND

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