05D1065085 CLIA NUMBER - MINORITY AIDS PROJECT

Laboratory Demographics

  • CLIA Code: 05D1065085
  • Facility Name: MINORITY AIDS PROJECT
  • Facility Address: 5149 W JEFFERSON BLVD
    LOS ANGELES, CA
    ZIP 90016
  • Facility Phone: 323 936-4949
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: WILBERT C. JORDAN MD
  • NPI Number: 1023135928
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 05D1065085
LAB Type Mobile Laboratory
Facility Name MINORITY AIDS PROJECT
Street 5149 W JEFFERSON BLVD
City LOS ANGELES
State CA
ZIP 90016
Phone 323 936-4949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Mobile Laboratory
Lab Director WILBERT C. JORDAN MD

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