05D2066445 CLIA NUMBER - VERMONT FAMILY AND WOMEN'S CLINIC, INC

Laboratory Demographics

  • CLIA Code: 05D2066445
  • Facility Name: VERMONT FAMILY AND WOMEN'S CLINIC, INC
  • Facility Address: 1211 N VERMONT AVE, STE 207
    LOS ANGELES, CA
    ZIP 90029
  • Facility Phone: 323 426-9480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODRIGUEZ, CLEM, D. RODRIGUEZ, MD
  • NPI Number: 1336451368
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2066445
LAB Type Physician Office
Facility Name VERMONT FAMILY AND WOMEN'S CLINIC, INC
Street 1211 N VERMONT AVE, STE 207
City LOS ANGELES
State CA
ZIP 90029
Phone 323 426-9480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Physician Office
Lab Director RODRIGUEZ, CLEM, D. RODRIGUEZ, MD

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