05D1025008 CLIA NUMBER - CENTRAL CITY COMMUNITY HEALTH CENTER, INC

Laboratory Demographics

CLIA Number: 05D1025008

Facility Name: CENTRAL CITY COMMUNITY HEALTH CENTER, INC

Facility Address:
10050 GARVEY AVE, STE 111
EL MONTE, CA
ZIP 91733
Get Directions

Facility Phone Number: 626 652-0790

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1972912236

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1025008
LAB Type	Federally Qualified Health Center
Facility Name	CENTRAL CITY COMMUNITY HEALTH CENTER, INC
Street	10050 GARVEY AVE, STE 111
City	EL MONTE
State	CA
ZIP	91733
Phone	626 652-0790
CertificateType	4
CertificateEffectiveDate	4/27/2024
CertificateExpirationDate	4/26/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024