05D0879756 CLIA NUMBER - HILLCREST MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D0879756
  • Facility Name: HILLCREST MEDICAL CLINIC
  • Facility Address: 511 E MANCHESTER BLVD
    INGLEWOOD, CA
    ZIP 90301
  • Facility Phone: 310 672-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOHEIL HEKMAT MD
  • NPI Number: 1588831374
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0879756
LAB Type Physician Office
Facility Name HILLCREST MEDICAL CLINIC
Street 511 E MANCHESTER BLVD
City INGLEWOOD
State CA
ZIP 90301
Phone 310 672-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Physician Office
Lab Director SOHEIL HEKMAT MD

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