05D0896728 CLIA NUMBER - CENTRO MEDICO INC

Laboratory Demographics

  • CLIA Code: 05D0896728
  • Facility Name: CENTRO MEDICO INC
  • Facility Address: 11946 S HAWTHORNE BOULEVARD
    HAWTHORNE, CA
    ZIP 90250
  • Facility Phone: 310 675-1136
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NABIL N. SOLIMAN
  • NPI Number: 1497776322
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0896728
LAB Type Physician Office
Facility Name CENTRO MEDICO INC
Street 11946 S HAWTHORNE BOULEVARD
City HAWTHORNE
State CA
ZIP 90250
Phone 310 675-1136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director NABIL N. SOLIMAN

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