05D2121401 CLIA NUMBER - 3C COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 05D2121401
  • Facility Name: 3C COMMUNITY CLINIC
  • Facility Address: 3030 W OLYMPIC BLVD STE 206
    LOS ANGELES, CA
    ZIP 90006
  • Facility Phone: 213 322-2666
  • Facility Type: Blood Bank
  • Facility Type: Waiver
  • Lab Director: JAE HYUNG CHO
  • NPI Number: 1093167850
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2121401
LAB Type Blood Bank
Facility Name 3C COMMUNITY CLINIC
Street 3030 W OLYMPIC BLVD STE 206
City LOS ANGELES
State CA
ZIP 90006
Phone 213 322-2666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2024
Certificate Expiration Date 11/2/2026
Facility Type Blood Bank
Lab Director JAE HYUNG CHO

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