05D0985073 CLIA NUMBER - PIH HEALTH PHYSICIANS

Laboratory Demographics

  • CLIA Code: 05D0985073
  • Facility Name: PIH HEALTH PHYSICIANS
  • Facility Address: 4476 TWEEDY BLVD
    SOUTH GATE, CA
    ZIP 90280
  • Facility Phone: 323 563-9499
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD JORDAN
  • NPI Number: 1578181707
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0985073
LAB Type Physician Office
Facility Name PIH HEALTH PHYSICIANS
Street 4476 TWEEDY BLVD
City SOUTH GATE
State CA
ZIP 90280
Phone 323 563-9499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Physician Office
Lab Director RICHARD JORDAN

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