05D1106759 CLIA NUMBER - JWCH INSTITUTE INC MOBILE TESTING UNIT

Laboratory Demographics

  • CLIA Code: 05D1106759
  • Facility Name: JWCH INSTITUTE INC MOBILE TESTING UNIT
  • Facility Address: 12360 FIRESTONE BLVD
    NORWALK, CA
    ZIP 90650
  • Facility Phone: 562 281-0305
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: PHILLIP DINH LE
  • NPI Number: 1386708634
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1106759
LAB Type Community Clinic
Facility Name JWCH INSTITUTE INC MOBILE TESTING UNIT
Street 12360 FIRESTONE BLVD
City NORWALK
State CA
ZIP 90650
Phone 562 281-0305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2023
Certificate Expiration Date 10/20/2025
Facility Type Community Clinic
Lab Director PHILLIP DINH LE

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