05D1038780 CLIA NUMBER - BELL GARDENS COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D1038780
  • Facility Name: BELL GARDENS COMMUNITY HEALTH CENTER
  • Facility Address: 6912 AJAX AVENUE ROOM 103
    BELL GARDENS, CA
    ZIP 90201
  • Facility Phone: 323 562-5813
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: PAUL G. GREGERSON MD
  • NPI Number: 1699958868
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1038780
LAB Type Community Clinic
Facility Name BELL GARDENS COMMUNITY HEALTH CENTER
Street 6912 AJAX AVENUE ROOM 103
City BELL GARDENS
State CA
ZIP 90201
Phone 323 562-5813
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Community Clinic
Lab Director PAUL G. GREGERSON MD

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