05D0709475 CLIA NUMBER - ALEJANDRO E GIL MD

Laboratory Demographics

  • CLIA Code: 05D0709475
  • Facility Name: ALEJANDRO E GIL MD
  • Facility Address: 240 N VIRGIL AVE STE 14
    LOS ANGELES, CA
    ZIP 90004
  • Facility Phone: 213 389-9100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ALEJANDRO E. GIL
  • NPI Number: 1417951963
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0709475
LAB Type Physician Office
Facility Name ALEJANDRO E GIL MD
Street 240 N VIRGIL AVE STE 14
City LOS ANGELES
State CA
ZIP 90004
Phone 213 389-9100
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 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Physician Office
Lab Director ALEJANDRO E. GIL

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