05D0977971 CLIA NUMBER - CRENSHAW COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0977971
  • Facility Name: CRENSHAW COMMUNITY HEALTH CENTER
  • Facility Address: 3756 SANTA ROSALIA DR STE 400
    LOS ANGELES, CA
    ZIP 90008
  • Facility Phone: 323 290-3400
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: RODERICK N. SEAMSTER MD
  • NPI Number: 1780788737
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0977971
LAB Type Community Clinic
Facility Name CRENSHAW COMMUNITY HEALTH CENTER
Street 3756 SANTA ROSALIA DR STE 400
City LOS ANGELES
State CA
ZIP 90008
Phone 323 290-3400
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 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Community Clinic
Lab Director RODERICK N. SEAMSTER MD

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