05D0983635 CLIA NUMBER - UNIVERSAL ADHC

Laboratory Demographics

  • CLIA Code: 05D0983635
  • Facility Name: UNIVERSAL ADHC
  • Facility Address: 3847 GRAND VIEW BLVD
    LOS ANGELES, CA
    ZIP 90066
  • Facility Phone: 310 915-5252
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: LILIA WEXLEY
  • NPI Number: 1942313754
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0983635
LAB Type Comp. Outpatient Rehab Facility
Facility Name UNIVERSAL ADHC
Street 3847 GRAND VIEW BLVD
City LOS ANGELES
State CA
ZIP 90066
Phone 310 915-5252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director LILIA WEXLEY

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