05D1078363 CLIA NUMBER - JOSE A PEREZ MD

Laboratory Demographics

  • CLIA Code: 05D1078363
  • Facility Name: JOSE A PEREZ MD
  • Facility Address: 3500 WHITTIER BLVD STE 107
    LOS ANGELES, CA
    ZIP 90023
  • Facility Phone: 323 604-0260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE A. PEREZ
  • NPI Number: 1104991561
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1078363
LAB Type Physician Office
Facility Name JOSE A PEREZ MD
Street 3500 WHITTIER BLVD STE 107
City LOS ANGELES
State CA
ZIP 90023
Phone 323 604-0260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director JOSE A. PEREZ

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