05D1062010 CLIA NUMBER - CLINICA MEDICA CUZCATLAN

Laboratory Demographics

  • CLIA Code: 05D1062010
  • Facility Name: CLINICA MEDICA CUZCATLAN
  • Facility Address: 3559 EAST GAGE AVE
    BELL, CA
    ZIP 90201
  • Facility Phone: 323 581-8485
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANA L. RODAS MD
  • NPI Number: 1821215914
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1062010
LAB Type Physician Office
Facility Name CLINICA MEDICA CUZCATLAN
Street 3559 EAST GAGE AVE
City BELL
State CA
ZIP 90201
Phone 323 581-8485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director ANA L. RODAS MD

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