05D1068523 CLIA NUMBER - CHARLES R DREW UNIVERSITY HIV TESTING AND OUTREACH PROJECTS

Laboratory Demographics

  • CLIA Code: 05D1068523
  • Facility Name: CHARLES R DREW UNIVERSITY HIV TESTING AND OUTREACH PROJECTS
  • Facility Address: 1731 E 120TH ST HIV TESTING AND OUTREACH PROJECTS
    LOS ANGELES, CA
    ZIP 90059
  • Facility Phone: (323) 563-9309
  • Facility Type: Other - UNIV BASED TESTING FACILI
  • Facility Type: Waiver
  • Lab Director: DAVID MARTINS
  • NPI Number: 1609367788
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1068523
LAB Type Other - UNIV BASED TESTING FACILI
Facility Name CHARLES R DREW UNIVERSITY HIV TESTING AND OUTREACH PROJECTS
Street 1731 E 120TH ST HIV TESTING AND OUTREACH PROJECTS
City LOS ANGELES
State CA
ZIP 90059
Phone 3235639309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Other - UNIV BASED TESTING FACILI
Lab Director DAVID MARTINS

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This page was last updated on: 5/15/2026