05D2052364 CLIA NUMBER - LIVINGSTONE COMMUNITY HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 05D2052364
  • Facility Name: LIVINGSTONE COMMUNITY HEALTH CLINIC
  • Facility Address: 12362 BEACH BLVD., SUITE 10
    STANTON, CA
    ZIP 90680
  • Facility Phone: 714 248-9500
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KYUNG I PARK
  • NPI Number: 1881210318
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2052364
LAB Type Community Clinic
Facility Name LIVINGSTONE COMMUNITY HEALTH CLINIC
Street 12362 BEACH BLVD., SUITE 10
City STANTON
State CA
ZIP 90680
Phone 714 248-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Community Clinic
Lab Director KYUNG I PARK

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