05D1059703 CLIA NUMBER - BIENESTAR HUMAN SERVICES

Laboratory Demographics

  • CLIA Code: 05D1059703
  • Facility Name: BIENESTAR HUMAN SERVICES
  • Facility Address: 5326 E BEVERLY BLVD
    LOS ANGELES, CA
    ZIP 90022
  • Facility Phone: 866 590-6411
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MICHAEL BOROOKHIM
  • NPI Number: 1558901405
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1059703
LAB Type Community Clinic
Facility Name BIENESTAR HUMAN SERVICES
Street 5326 E BEVERLY BLVD
City LOS ANGELES
State CA
ZIP 90022
Phone 866 590-6411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Community Clinic
Lab Director MICHAEL BOROOKHIM

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