05D0891206 CLIA NUMBER - EL CAMINO COLLEGE STUDENT HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D0891206
  • Facility Name: EL CAMINO COLLEGE STUDENT HEALTH SERVICES
  • Facility Address: 16007 CRENSHAW BLVD
    TORRANCE, CA
    ZIP 90504
  • Facility Phone: 310 660-3643
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MICHAEL F. MELLMAN
  • NPI Number: 1326306077
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0891206
LAB Type School/Student Health Service
Facility Name EL CAMINO COLLEGE STUDENT HEALTH SERVICES
Street 16007 CRENSHAW BLVD
City TORRANCE
State CA
ZIP 90504
Phone 310 660-3643
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 School/Student Health Service
Lab Director MICHAEL F. MELLMAN

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