05D1033829 CLIA NUMBER - MATERNAL-FETAL MEDICAL ASSOC DBA WOMEN'S CLINIC

Laboratory Demographics

  • CLIA Code: 05D1033829
  • Facility Name: MATERNAL-FETAL MEDICAL ASSOC DBA WOMEN'S CLINIC
  • Facility Address: 401 W MANCHESTER BLVD
    INGLEWOOD, CA
    ZIP 90301
  • Facility Phone: 310 603-2345
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY O. OGUNDIPE MD
  • NPI Number: 1043352404
  • Taxonomy: 207VM0101X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D1033829
LAB Type Physician Office
Facility Name MATERNAL-FETAL MEDICAL ASSOC DBA WOMEN'S CLINIC
Street 401 W MANCHESTER BLVD
City INGLEWOOD
State CA
ZIP 90301
Phone 310 603-2345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director ANTHONY O. OGUNDIPE MD

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