05D1079213 CLIA NUMBER - HUNTINGTON PARK FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D1079213
  • Facility Name: HUNTINGTON PARK FAMILY HEALTH CENTER
  • Facility Address: 2680 SATURN AVE STE 110
    HUNTINGTON PARK, CA
    ZIP 90255
  • Facility Phone: 323 908-4000
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: JOSE L. PEREZ MD
  • NPI Number: 1750821732
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1079213
LAB Type Federally Qualified Health Center
Facility Name HUNTINGTON PARK FAMILY HEALTH CENTER
Street 2680 SATURN AVE STE 110
City HUNTINGTON PARK
State CA
ZIP 90255
Phone 323 908-4000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Federally Qualified Health Center
Lab Director JOSE L. PEREZ MD

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