05D1060431 CLIA NUMBER - CARELON HEALTH

Laboratory Demographics

  • CLIA Code: 05D1060431
  • Facility Name: CARELON HEALTH
  • Facility Address: 2444 W BEVERLY BLVD
    MONTEBELLO, CA
    ZIP 90640
  • Facility Phone: 323 201-4130
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTY DOLINAY
  • NPI Number: 1124491642
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 05D1060431
LAB Type Physician Office
Facility Name CARELON HEALTH
Street 2444 W BEVERLY BLVD
City MONTEBELLO
State CA
ZIP 90640
Phone 323 201-4130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director DR. CHRISTY DOLINAY

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