05D0890790 CLIA NUMBER - PIH HEALTH GOOD SAMARITAN HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D0890790
  • Facility Name: PIH HEALTH GOOD SAMARITAN HOSPITAL
  • Facility Address: 1225 WILSHIRE BLVD
    LOS ANGELES, CA
    ZIP 90017
  • Facility Phone: 213 977-2260
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. NALIN MALLIK
  • NPI Number: 1801551494
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 05D0890790
LAB Type Hospital
Facility Name PIH HEALTH GOOD SAMARITAN HOSPITAL
Street 1225 WILSHIRE BLVD
City LOS ANGELES
State CA
ZIP 90017
Phone 213 977-2260
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. NALIN MALLIK

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