05D0058906 CLIA NUMBER - USC KENNETH NORRIS JR CANCER HOSPITAL

Laboratory Demographics

CLIA Number: 05D0058906

Facility Name: USC KENNETH NORRIS JR CANCER HOSPITAL

Facility Address:
1441 EASTLAKE AVE, CLINICAL LABORATORY RM 2424
LOS ANGELES, CA
ZIP 90033
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Facility Phone Number: 323 865-3276

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1184655417

Taxonomy: 284300000X - Special Hospital
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

CLIA Record

Field Name	Field Value
CLIA Number	05D0058906
LAB Type	Hospital
Facility Name	USC KENNETH NORRIS JR CANCER HOSPITAL
Street	1441 EASTLAKE AVE, CLINICAL LABORATORY RM 2424
City	LOS ANGELES
State	CA
ZIP	90033
Phone	323 865-3276
CertificateType	1
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024