05D2078544 CLIA NUMBER - JMK COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2078544
  • Facility Name: JMK COMMUNITY HEALTH CENTER
  • Facility Address: 1112 N SANTA FE AVE
    COMPTON, CA
    ZIP 90221
  • Facility Phone: 310 638-1100
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: ALVA A. MARSH
  • NPI Number: 1447654264
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 05D2078544
LAB Type Practitioner Other
Facility Name JMK COMMUNITY HEALTH CENTER
Street 1112 N SANTA FE AVE
City COMPTON
State CA
ZIP 90221
Phone 310 638-1100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Practitioner Other
Lab Director ALVA A. MARSH

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