Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

OMEGA DIAGNOSTIC INC
NPI 1710801220
Clinical Medical Laboratory in Los Angeles, CA

Active since August 06, 2026CLIA 05D2348177 · Certificate of Compliance
5176 SANTA MONICA BLVD STE 106, LOS ANGELES, CA 90029(213) 258-5965(213) 258-5966 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 31, 2026, Aug 6, 2026 (2 updates tracked since 2026).

About Omega Diagnostic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMEGA DIAGNOSTIC INC (NPI 1710801220) is a healthcare organization registered as a clinical medical laboratory in Los Angeles, California and active in the NPI registry since August 2026. The organization holds a CLIA Certificate of Compliance certificate valid through July 30, 2028 and lists Rasambek Khatchiev, Ceo,cfo, as its authorized official.

NPPES Registry Identity

NPI1710801220
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameOMEGA DIAGNOSTIC INC
Location Address5176 SANTA MONICA BLVD STE 106Los Angeles, CA 90029-2586
Mailing Address5176 Santa Monica Blvd Ste 106Los Angeles, CA 90029-2586 · (213) 258-5965
Fax(213) 258-5966
Organization SubpartNo
Authorized OfficialRasambek KhatchievCeo,cfo · (213) 258-5965
Enumeration DateAugust 6, 2026
Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
NPI 1710801220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
5176 SANTA MONICA BLVD STE 106, Los Angeles, CA 90029

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2348177

Omega Diagnostic Inc · Los Angeles, CA
Active · expires Jul 30, 2028
CLIA Number05D2348177
Laboratory TypeIndependent
Certificate Effective DateJuly 31, 2026
Certificate Expiration DateJuly 30, 2028
Laboratory DirectorDanielle W. Lu
Laboratory Phone(323) 284-8155
Laboratory LocationOmega Diagnostic Inc5176 Santa Monica Blvd Ste 106, Los Angeles, CA 90029
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omega Diagnostic Inc's NPI number?

The NPI number for Omega Diagnostic Inc is 1710801220. It was assigned to this organization in the NPPES registry on August 6, 2026.

Where is Omega Diagnostic Inc located?

Omega Diagnostic Inc is located at 5176 Santa Monica Blvd Ste 106, Los Angeles, CA 90029. The listed phone number is (213) 258-5965.

What is Omega Diagnostic Inc's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Omega Diagnostic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2348177) is associated with this NPI, valid through July 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Omega Diagnostic Inc was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.