05D2053034 CLIA NUMBER - CARELON HEALTH

Laboratory Demographics

  • CLIA Code: 05D2053034
  • Facility Name: CARELON HEALTH
  • Facility Address: 2200 W 3RD ST STE 100
    LOS ANGELES, CA
    ZIP 90057
  • Facility Phone: 213 355-2600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RHONE P. TERENCE
  • NPI Number: 1174996698
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 05D2053034
LAB Type Physician Office
Facility Name CARELON HEALTH
Street 2200 W 3RD ST STE 100
City LOS ANGELES
State CA
ZIP 90057
Phone 213 355-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Physician Office
Lab Director DR. RHONE P. TERENCE

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