05D2148031 CLIA NUMBER - UCLA - IRIS CANTOR WOMEN'S HEALTH CENTER

Laboratory Demographics

CLIA Code: 05D2148031
Facility Name: UCLA - IRIS CANTOR WOMEN'S HEALTH CENTER
Facility Address: 100 UCLA MEDICAL PLAZA STE 290
LOS ANGELES, CA
ZIP 90095
Facility Phone: 310 794-4212
Facility Type: Physician Office
Facility Type: Waiver
Lab Director: JANET P. PREGLER, MD
NPI Number: 1558662999
Taxonomy: 390200000X - Student in an Organized Health Care Education/Training Program

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CLIA Record

Field Name	Field Value
CLIA Number	05D2148031
LAB Type	Physician Office
Facility Name	UCLA - IRIS CANTOR WOMEN'S HEALTH CENTER
Street	100 UCLA MEDICAL PLAZA STE 290
City	LOS ANGELES
State	CA
ZIP	90095
Phone	310 794-4212
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/30/2023
Certificate Expiration Date	10/29/2025
Facility Type	Physician Office
Lab Director	JANET P. PREGLER, MD

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