05D0970435 CLIA NUMBER - JWCH INSTITUTE, INC MEDICAL CLINIC/WEINGART CENTER

Laboratory Demographics

  • CLIA Code: 05D0970435
  • Facility Name: JWCH INSTITUTE, INC MEDICAL CLINIC/WEINGART CENTER
  • Facility Address: 522 S SAN PEDRO ST
    LOS ANGELES, CA
    ZIP 90013
  • Facility Phone: 323 201-4516
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: PAUL GREGERSON MD
  • NPI Number: 1245413699
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0970435
LAB Type Federally Qualified Health Center
Facility Name JWCH INSTITUTE, INC MEDICAL CLINIC/WEINGART CENTER
Street 522 S SAN PEDRO ST
City LOS ANGELES
State CA
ZIP 90013
Phone 323 201-4516
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 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Federally Qualified Health Center
Lab Director PAUL GREGERSON MD

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