05D2150310 CLIA NUMBER - THOREAU HOUSE I

Laboratory Demographics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2150310
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name THOREAU HOUSE I
Street 1942 THOREAU ST
City LOS ANGELES
State CA
ZIP 90047
Phone 323 755-7105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director EUGENE HARDIN, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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