05D1061260 CLIA NUMBER - ANJANETTE HOGAN MD INC

Laboratory Demographics

  • CLIA Code: 05D1061260
  • Facility Name: ANJANETTE HOGAN MD INC
  • Facility Address: 1141 WEST REDONDO BEACH BLVD STE 409
    GARDENA, CA
    ZIP 90247
  • Facility Phone: 323 296-0150
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANJANETTE M. HOGAN MD
  • NPI Number: 1457447393
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1061260
LAB Type Physician Office
Facility Name ANJANETTE HOGAN MD INC
Street 1141 WEST REDONDO BEACH BLVD STE 409
City GARDENA
State CA
ZIP 90247
Phone 323 296-0150
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 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director ANJANETTE M. HOGAN MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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