05D2085201 CLIA NUMBER - ANPHON MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D2085201
  • Facility Name: ANPHON MEDICAL CENTER
  • Facility Address: 333 E NUTWOOD ST STE C
    INGLEWOOD, CA
    ZIP 90301
  • Facility Phone: 310 912-6100
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DAVID L. HANTMAN
  • NPI Number: 1801202676
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2085201
LAB Type Federally Qualified Health Center
Facility Name ANPHON MEDICAL CENTER
Street 333 E NUTWOOD ST STE C
City INGLEWOOD
State CA
ZIP 90301
Phone 310 912-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Federally Qualified Health Center
Lab Director DAVID L. HANTMAN

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