05D1081099 CLIA NUMBER - APLA HEALTH & WELLNESS

Laboratory Demographics

  • CLIA Code: 05D1081099
  • Facility Name: APLA HEALTH & WELLNESS
  • Facility Address: 3743 S LA BREA AVE
    LOS ANGELES, CA
    ZIP 90016
  • Facility Phone: 323 329-9920
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JEROME DE VENTE MD
  • NPI Number: 1225793631
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1081099
LAB Type Federally Qualified Health Center
Facility Name APLA HEALTH & WELLNESS
Street 3743 S LA BREA AVE
City LOS ANGELES
State CA
ZIP 90016
Phone 323 329-9920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Federally Qualified Health Center
Lab Director JEROME DE VENTE MD

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