05D2297658 CLIA NUMBER - PHILLIP FLESHNER, MD

Laboratory Demographics

  • CLIA Code: 05D2297658
  • Facility Name: PHILLIP FLESHNER, MD
  • Facility Address: 8737 BEVERLY BLVD, SUITE 101
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 310 289-9224
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILLIP FLESHNER
  • NPI Number: 1801551387
  • Taxonomy: 208C00000X - Colon & Rectal Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D2297658
LAB Type Physician Office
Facility Name PHILLIP FLESHNER, MD
Street 8737 BEVERLY BLVD, SUITE 101
City LOS ANGELES
State CA
ZIP 90048
Phone 310 289-9224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director PHILLIP FLESHNER

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