05D1066931 CLIA NUMBER - BENEVOLENCE INDUSTRIES INCORPORATED DBA CENTRAL MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D1066931
  • Facility Name: BENEVOLENCE INDUSTRIES INCORPORATED DBA CENTRAL MEDICAL CLINIC
  • Facility Address: 3533 W PICO BLVD
    LOS ANGELES, CA
    ZIP 90019
  • Facility Phone: 323 732-0100
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. RON JAVDAN
  • NPI Number: 1376761940
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1066931
LAB Type Federally Qualified Health Center
Facility Name BENEVOLENCE INDUSTRIES INCORPORATED DBA CENTRAL MEDICAL CLINIC
Street 3533 W PICO BLVD
City LOS ANGELES
State CA
ZIP 90019
Phone 323 732-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Federally Qualified Health Center
Lab Director DR. RON JAVDAN

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