05D2151800 CLIA NUMBER - BEVERLY COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 05D2151800
  • Facility Name: BEVERLY COMMUNITY CLINIC
  • Facility Address: 2252 BEVERLY BLVD #103
    LOS ANGELES, CA
    ZIP 90057
  • Facility Phone: 213 252-7287
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN BURNS
  • NPI Number: 1144791500
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2151800
LAB Type Physician Office
Facility Name BEVERLY COMMUNITY CLINIC
Street 2252 BEVERLY BLVD #103
City LOS ANGELES
State CA
ZIP 90057
Phone 213 252-7287
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director JOHN BURNS

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