05D0694067 CLIA NUMBER - NORTHEAST COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 05D0694067
  • Facility Name: NORTHEAST COMMUNITY CLINIC
  • Facility Address: 5420 N FIGUEROA ST
    LOS ANGELES, CA
    ZIP 90042
  • Facility Phone: 626 457-6900
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: CHRISTOPHER T. LAU MD
  • NPI Number: 1124460274
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0694067
LAB Type Community Clinic
Facility Name NORTHEAST COMMUNITY CLINIC
Street 5420 N FIGUEROA ST
City LOS ANGELES
State CA
ZIP 90042
Phone 626 457-6900
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Community Clinic
Lab Director CHRISTOPHER T. LAU MD

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