05D0587924 CLIA NUMBER - ANTELOPE VALLEY MEDICAL CENTER A FACILITY OF ANTELOPE VALLEY DISTRICT

Laboratory Demographics

  • CLIA Code: 05D0587924
  • Facility Name: ANTELOPE VALLEY MEDICAL CENTER A FACILITY OF ANTELOPE VALLEY DISTRICT
  • Facility Address: 1600 W AVENUE J
    LANCASTER, CA
    ZIP 93534
  • Facility Phone: 661 949-5600
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. HONG SHEN
  • NPI Number: 1649753575
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0587924
LAB Type Hospital
Facility Name ANTELOPE VALLEY MEDICAL CENTER A FACILITY OF ANTELOPE VALLEY DISTRICT
Street 1600 W AVENUE J
City LANCASTER
State CA
ZIP 93534
Phone 661 949-5600
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. HONG SHEN

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