05D1019182 CLIA NUMBER - UNIVERSAL HEALTH FOUNDATION

Laboratory Demographics

  • CLIA Code: 05D1019182
  • Facility Name: UNIVERSAL HEALTH FOUNDATION
  • Facility Address: 2020 E 1ST ST
    LOS ANGELES, CA
    ZIP 90033
  • Facility Phone: 323 980-9600
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: GWENERVERE L. FLAGG
  • NPI Number: 1922234707
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1019182
LAB Type Community Clinic
Facility Name UNIVERSAL HEALTH FOUNDATION
Street 2020 E 1ST ST
City LOS ANGELES
State CA
ZIP 90033
Phone 323 980-9600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Community Clinic
Lab Director GWENERVERE L. FLAGG

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