05D2066447 CLIA NUMBER - YEHOWA MEDICAL SERVICES DBA VERMONT COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 05D2066447
  • Facility Name: YEHOWA MEDICAL SERVICES DBA VERMONT COMMUNITY CLINIC
  • Facility Address: 11502 S VERMONT AVE, STE C
    LOS ANGELES, CA
    ZIP 90044
  • Facility Phone: 323 776-1500
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. HENRY AWARIEFE
  • NPI Number: 1497299705
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2066447
LAB Type Community Clinic
Facility Name YEHOWA MEDICAL SERVICES DBA VERMONT COMMUNITY CLINIC
Street 11502 S VERMONT AVE, STE C
City LOS ANGELES
State CA
ZIP 90044
Phone 323 776-1500
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 Community Clinic
Lab Director DR. HENRY AWARIEFE

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