CLIA lab

CLIA 05D2210083: Payman R Emmanuel MD Inc

Culver City, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2210083 belongs to Payman R Emmanuel MD Inc in Culver City, CA.

Certificate of Waiver, effective January 19, 2025, expires January 18, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 19, 2025
Certificate expiration
January 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 19, 2021
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2210083
Lab name
Payman R Emmanuel MD Inc
Address
10750 Washington Blvd, Culver City, CA 90232
Phone
(310) 253-9999
Fax
(310) 253-9959

Annual test volume the lab reported

Waived tests
10,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Culver City, CA

Related

Questions

What is the CLIA number for Payman R Emmanuel MD Inc in Culver City?

05D2210083, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Payman R Emmanuel MD Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2210083 expire?

The CMS file lists January 18, 2027 as the certificate expiration date; the certificate took effect January 19, 2025.

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