05D1055386 CLIA NUMBER - LA GENERAL MEDICAL CENTER DERMATOLOGY LAB

Laboratory Demographics

  • CLIA Code: 05D1055386
  • Facility Name: LA GENERAL MEDICAL CENTER DERMATOLOGY LAB
  • Facility Address: 1300 N MISSION RD, 3RD FL
    LOS ANGELES, CA
    ZIP 90033
  • Facility Phone: 323 442-0084
  • Facility Type: Other - OUTPATIENT CLINIC
  • Facility Type: Certificate of Compliance
  • Lab Director: JENNY C. HU
  • NPI Number: 1609199645
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D1055386
LAB Type Other - OUTPATIENT CLINIC
Facility Name LA GENERAL MEDICAL CENTER DERMATOLOGY LAB
Street 1300 N MISSION RD, 3RD FL
City LOS ANGELES
State CA
ZIP 90033
Phone 323 442-0084
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/1/2022
Certificate Expiration Date 10/31/2025
Facility Type Other - OUTPATIENT CLINIC
Lab Director JENNY C. HU

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