05D2294099 CLIA NUMBER - HOLLYWOOD 2 0

Laboratory Demographics

  • CLIA Code: 05D2294099
  • Facility Name: HOLLYWOOD 2 0
  • Facility Address: 5000 SUNSET BLVD SUITE 600
    LOS ANGELES, CA
    ZIP 90027
  • Facility Phone: 213 738-4725
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SHAYAN RAB
  • NPI Number: 1043381874
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2294099
LAB Type Community Clinic
Facility Name HOLLYWOOD 2 0
Street 5000 SUNSET BLVD SUITE 600
City LOS ANGELES
State CA
ZIP 90027
Phone 213 738-4725
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Community Clinic
Lab Director SHAYAN RAB

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