05D0888079 CLIA NUMBER - MORNINGSIDE PRIMARY CARE MEDICAL CENTE

Laboratory Demographics

  • CLIA Code: 05D0888079
  • Facility Name: MORNINGSIDE PRIMARY CARE MEDICAL CENTE
  • Facility Address: 617 W MANCHESTER AVENUE
    LOS ANGELES, CA
    ZIP 90044
  • Facility Phone: 323 750-9715
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JIMMY SOLIMAN
  • NPI Number: 1730299157
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0888079
LAB Type Physician Office
Facility Name MORNINGSIDE PRIMARY CARE MEDICAL CENTE
Street 617 W MANCHESTER AVENUE
City LOS ANGELES
State CA
ZIP 90044
Phone 323 750-9715
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director JIMMY SOLIMAN

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