05D0541238 CLIA NUMBER - LOS ANGELES COUNTY DHS CORRECTIONAL HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D0541238
  • Facility Name: LOS ANGELES COUNTY DHS CORRECTIONAL HEALTH SERVICES
  • Facility Address: 450 BAUCHET ST
    LOS ANGELES, CA
    ZIP 90012
  • Facility Phone: 213 893-5658
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: SEAN O. HENDERSON
  • NPI Number: 1558541631
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 05D0541238
LAB Type Prison
Facility Name LOS ANGELES COUNTY DHS CORRECTIONAL HEALTH SERVICES
Street 450 BAUCHET ST
City LOS ANGELES
State CA
ZIP 90012
Phone 213 893-5658
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Prison
Lab Director SEAN O. HENDERSON

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