05D0925580 CLIA NUMBER - ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO

Laboratory Demographics

  • CLIA Code: 05D0925580
  • Facility Name: ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO
  • Facility Address: 309 WEST BEVERLY BLVD
    MONTEBELLO, CA
    ZIP 90640
  • Facility Phone: 323 268-5000
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. ANN Z. TAN
  • NPI Number: 1922635127
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D0925580
LAB Type Hospital
Facility Name ADVENTIST HEALTH WHITE MEMORIAL MONTEBELLO
Street 309 WEST BEVERLY BLVD
City MONTEBELLO
State CA
ZIP 90640
Phone 323 268-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Hospital
Lab Director DR. ANN Z. TAN

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