05D0944388 CLIA NUMBER - CONCENTRA MEDICAL CENTERS - AIRPORT LAX

Laboratory Demographics

  • CLIA Code: 05D0944388
  • Facility Name: CONCENTRA MEDICAL CENTERS - AIRPORT LAX
  • Facility Address: 6033 W CENTURY BLVD STE 200
    LOS ANGELES, CA
    ZIP 90045
  • Facility Phone: 310 215-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREGORY THIER
  • NPI Number: 1902055932
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0944388
LAB Type Physician Office
Facility Name CONCENTRA MEDICAL CENTERS - AIRPORT LAX
Street 6033 W CENTURY BLVD STE 200
City LOS ANGELES
State CA
ZIP 90045
Phone 310 215-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Physician Office
Lab Director GREGORY THIER

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