05D1055562 CLIA NUMBER - JWCH INSTITUTE INC (BELL GARDENS)

Laboratory Demographics

  • CLIA Code: 05D1055562
  • Facility Name: JWCH INSTITUTE INC (BELL GARDENS)
  • Facility Address: 6912 AJAX AVENUE
    BELL GARDENS, CA
    ZIP 90201
  • Facility Phone: 213 484-1186
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: PAUL G. GREGERSON
  • NPI Number: 1215206503
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1055562
LAB Type Mobile Laboratory
Facility Name JWCH INSTITUTE INC (BELL GARDENS)
Street 6912 AJAX AVENUE
City BELL GARDENS
State CA
ZIP 90201
Phone 213 484-1186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Mobile Laboratory
Lab Director PAUL G. GREGERSON

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