05D0552242 CLIA NUMBER - ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO

Laboratory Demographics

  • CLIA Code: 05D0552242
  • Facility Name: ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO
  • Facility Address: 309 WEST BEVERLY BOULEVARD
    MONTEBELLO, CA
    ZIP 90640
  • Facility Phone: 323 268-5000
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. ANN Z. TAN
  • NPI Number: 1902051758
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0552242
LAB Type Hospital
Facility Name ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO
Street 309 WEST BEVERLY BOULEVARD
City MONTEBELLO
State CA
ZIP 90640
Phone 323 268-5000
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director DR. ANN Z. TAN

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