05D0951358 CLIA NUMBER - WILMINGTON HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0951358
  • Facility Name: WILMINGTON HEALTH CENTER
  • Facility Address: 1325 BROAD AVE
    WILMINGTON, CA
    ZIP 90744
  • Facility Phone: 310 518-8800
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: JEFFREY T. BARBOSA MD
  • NPI Number: 1649656489
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D0951358
LAB Type Community Clinic
Facility Name WILMINGTON HEALTH CENTER
Street 1325 BROAD AVE
City WILMINGTON
State CA
ZIP 90744
Phone 310 518-8800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Community Clinic
Lab Director JEFFREY T. BARBOSA MD

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