05D0867182 CLIA NUMBER - KAISER FOUNDATION HOSPITAL LOS ANGELES MENTAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0867182
  • Facility Name: KAISER FOUNDATION HOSPITAL LOS ANGELES MENTAL HEALTH CENTER
  • Facility Address: 765 WEST COLLEGE ST
    LOS ANGELES, CA
    ZIP 90012
  • Facility Phone: 213 580-7324
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: ARY KIAN
  • NPI Number: 1063567956
  • Taxonomy: 273R00000X - Psychiatric Unit

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CLIA Record

Field Name Field Value
CLIA Number 05D0867182
LAB Type Health Main. Organization
Facility Name KAISER FOUNDATION HOSPITAL LOS ANGELES MENTAL HEALTH CENTER
Street 765 WEST COLLEGE ST
City LOS ANGELES
State CA
ZIP 90012
Phone 213 580-7324
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 Health Main. Organization
Lab Director ARY KIAN

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