05D2004959 CLIA NUMBER - THE BERKELEY CLINIC DBA HOLLYWOOD WALK-IN CLINIC

Laboratory Demographics

  • CLIA Code: 05D2004959
  • Facility Name: THE BERKELEY CLINIC DBA HOLLYWOOD WALK-IN CLINIC
  • Facility Address: 6430 SELMA AVE
    LOS ANGELES, CA
    ZIP 90028
  • Facility Phone: 323 848-4522
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RITO CASTANON-HILL MD
  • NPI Number: 1326344938
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2004959
LAB Type Community Clinic
Facility Name THE BERKELEY CLINIC DBA HOLLYWOOD WALK-IN CLINIC
Street 6430 SELMA AVE
City LOS ANGELES
State CA
ZIP 90028
Phone 323 848-4522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Community Clinic
Lab Director RITO CASTANON-HILL MD

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