05D2108114 CLIA NUMBER - LA URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2108114
  • Facility Name: LA URGENT CARE
  • Facility Address: 4221 S ALAMEDA STREET
    VERNON, CA
    ZIP 90058
  • Facility Phone: 323 676-5111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABEL QUESDA, MD
  • NPI Number: 1699092783
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D2108114
LAB Type Physician Office
Facility Name LA URGENT CARE
Street 4221 S ALAMEDA STREET
City VERNON
State CA
ZIP 90058
Phone 323 676-5111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Physician Office
Lab Director ABEL QUESDA, MD

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