05D0865521 CLIA NUMBER - GEMELIA HOLGADO AGUILERA MD INC

Laboratory Demographics

  • CLIA Code: 05D0865521
  • Facility Name: GEMELIA HOLGADO AGUILERA MD INC
  • Facility Address: 3761 BEVERLY BOULEVARD
    LOS ANGELES, CA
    ZIP 90004
  • Facility Phone: 213 663-2100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEMELIA H. AGUILERA
  • NPI Number: 1972616100
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0865521
LAB Type Physician Office
Facility Name GEMELIA HOLGADO AGUILERA MD INC
Street 3761 BEVERLY BOULEVARD
City LOS ANGELES
State CA
ZIP 90004
Phone 213 663-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director GEMELIA H. AGUILERA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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