05D2304268 CLIA NUMBER - GUODONG LI MD INC

Laboratory Demographics

  • CLIA Code: 05D2304268
  • Facility Name: GUODONG LI MD INC
  • Facility Address: 206 S ROBERTSON BLVD
    BEVERLY HILLS, CA
    ZIP 90211
  • Facility Phone: 310 279-0711
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GUODONG LI
  • NPI Number: 1588988224
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2304268
LAB Type Physician Office
Facility Name GUODONG LI MD INC
Street 206 S ROBERTSON BLVD
City BEVERLY HILLS
State CA
ZIP 90211
Phone 310 279-0711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Physician Office
Lab Director GUODONG LI

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This page was last updated on: 6/4/2025