05D2286443 CLIA NUMBER - CALNEURO RESEARCH GROUP INC

Laboratory Demographics

  • CLIA Code: 05D2286443
  • Facility Name: CALNEURO RESEARCH GROUP INC
  • Facility Address: 10780 SANTA MONICA BLVD STE 470
    LOS ANGELES, CA
    ZIP 90025
  • Facility Phone: 310 892-1157
  • Facility Type: Other - OUT PATIENT RESRH
  • Facility Type: Waiver
  • Lab Director: ALEXANDER BYSTRITSKY
  • NPI Number: 1689309825
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2286443
LAB Type Other - OUT PATIENT RESRH
Facility Name CALNEURO RESEARCH GROUP INC
Street 10780 SANTA MONICA BLVD STE 470
City LOS ANGELES
State CA
ZIP 90025
Phone 310 892-1157
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Other - OUT PATIENT RESRH
Lab Director ALEXANDER BYSTRITSKY

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