05D0917269 CLIA NUMBER - DAVID H SKINNER DO

Laboratory Demographics

  • CLIA Code: 05D0917269
  • Facility Name: DAVID H SKINNER DO
  • Facility Address: 10010 CALIFORNIA AVENUE
    SOUTH GATE, CA
    ZIP 90280
  • Facility Phone: 213 567-2425
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID SKINNER DO
  • NPI Number: 1265489678
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0917269
LAB Type Physician Office
Facility Name DAVID H SKINNER DO
Street 10010 CALIFORNIA AVENUE
City SOUTH GATE
State CA
ZIP 90280
Phone 213 567-2425
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Physician Office
Lab Director DAVID SKINNER DO

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